Individual provider Active NPI

Kent G Yohe, DOCTOR OF CHIROPRACT

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1023192143
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
343 Issued in ND
Practice address
2800 S University Dr
Fargo, ND 58103-6030
Phone
(701) 237-0614
Fax
(701) 237-0615
NPI assigned
Oct 25, 2006
Last updated
May 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 343 ND Primary
Chiropractor 111N00000X 3364R AZ

Addresses

Primary practice location

2800 S University Dr
Fargo, ND 58103-6030

Mailing address

2800 S University Dr
Fargo, ND 58103-6030

Other identifiers 2

IdentifierTypeStateIssuer
12105MedicaidND
346727900MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040813000042 ND Practitioner - Chiropractic 2769454636 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3364RAZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Askland-Yohe Chiropractic, LTD Chiropractor CurrentSince Apr 30, 1990 Accepting new patients

Locations

2800 University Dr S
Fargo, ND 58103
Phone (701) 237-0614

Organizations & group practices 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1023192143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S UNIVERSITY DR",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S UNIVERSITY DR",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036030",
            "telephone_number": "701-237-0614",
            "fax_number": "701-237-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOHE",
        "first_name": "KENT",
        "middle_name": "G",
        "credential": "DOCTOR OF CHIROPRACT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "343",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "3364R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12105",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346727900",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.