Robb Quincy Dohman, D.C.
Individual provider Active NPI Chiropractor · Wahpeton, ND
NPI 1033288154 · NPPES record last updated Mar 28, 2017
Key facts
- NPI
- 1033288154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 750 (ND)
- Practice address
- 505 Dakota Ave
Wahpeton, ND 58075-4414 - Phone
- (701) 672-8100
- Fax
- (701) 672-8101
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bakken Chiropractic PC
Practice addresses (Care Compare)
511 /2 St N
Wahpeton, ND 58075-4024
Phone (701) 672-8100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040805000414 | ND | Practitioner - Chiropractic | 2769453380 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 750 | ND | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bakken Chiropractic PC | Chiropractor | Current |
Accepting new patients |
| Hornstein Family Chiropractic, LTD | Chiropractor | Past |
Accepting new patients |
| Alisa T Mitskog, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 750 | ND | Yes |
Addresses
Primary practice location
505 Dakota Ave
Wahpeton, ND 58075-4414
Mailing address
505 Dakota Ave
Wahpeton, ND 58075-4414
Phone (701) 672-8100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13184 | Medicaid | ND |
Other providers in Wahpeton, ND
- Dakota Clinic, LTD.
- Dakota Smiles PLLC
- Lindsay Dassenko
- Manmohan S Devsi
- Kaitlyn Diegel
- Tristin Rae Dutton
- Anthony Charles Eggiman
- Ryan A Ehrmantraut
- Mariah Martin Eldridge
- Patrick E Emery
All providers in Wahpeton, ND · Chiropractor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.