Individual provider Active NPI

Debra D Laduke, DC

  • Chiropractor
  • Jamestown, ND
National Provider Identifier
1033162276
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
557 Issued in ND
Practice address
920 10TH St SE
Suite C
Jamestown, ND 58401-5819
Phone
(701) 252-9852
Fax
(701) 952-9853
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 557 ND Primary

Addresses

Primary practice location

920 10TH St SE
Suite C
Jamestown, ND 58401-5819

Mailing address

920 10TH St SE
Suite C
Jamestown, ND 58401-5819
Phone (701) 252-9852

Other identifiers 1

IdentifierTypeStateIssuer
17990MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
557NDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Inspired Healthcare, PLLC PastSince Jun 1, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1033162276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 10TH ST SE",
            "address_2": "SUITE C",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584015819",
            "telephone_number": "701-252-9852",
            "fax_number": "701-952-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 10TH ST SE",
            "address_2": "SUITE C",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584015819",
            "telephone_number": "701-252-9852",
            "fax_number": "701-952-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADUKE",
        "first_name": "DEBRA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17990",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.