Stephen C Walton, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

480 Issued in ND

Practice address

120 Broadway N
Fargo, ND 58102-4926

Phone

(701) 237-0770

Fax

(701) 237-0770

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walton Chiropractic Clinic P.C.

  • Chiropractor
  • Fargo, ND
  • NPI 1811141948
  Medicare reassignment NPD Authorized official

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in ND

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023183191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024926",
            "telephone_number": "701-237-0770",
            "fax_number": "701-237-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024926",
            "telephone_number": "701-237-0770",
            "fax_number": "701-237-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH DAKOTA BLUE CROSS",
            "identifier": "4346",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Walters
• Rebecca Jo Walters
• Corey Walther
• Kylie Melissa Walthers, OTR/L
• Walton Chiropractic Clinic P.C.
• Molly Wambach, APRN-FNP
• Sophie Wamre, LPCC
• Destany L Wanden
• Derek Zhou Wang, MD
• Ashley Wangerin

• All providers in Fargo, ND
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.