Active NPI
Cameron John Nemecek, DC
- Chiropractor
- Bismarck, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 048
- Practice address
- 4719 Shelburne St Ste 7
Bismarck, ND 58503 - Phone
- (701) 223-5001
- Fax
- (701) 223-4709
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2942 | CO | |
| Chiropractor | 111N00000X | 048 | ND | Primary |
Addresses
Primary practice location
4719 Shelburne St Ste 7
Bismarck, ND 58503
Mailing address
4719 Shelburne St Ste 7
Bismarck, ND 58503-5677
Phone (701) 223-5001
Other practice location 1
1431 Interstate Loop
Bismarck, ND 58503-0510
Phone (701) 223-5001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18812 | Other | ND | BCBS OF ND |
| 16241 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4719 Shelburne St
Suite 7
Bismarck, ND 58503-5677
Phone (701) 223-5001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 489 | ND | MD | Psychologist |
| 2942 | CO | MD | Chiropractor |
| 048 | ND | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nemecek and Winkler Chiropractic, PC | Chiropractor | Current | Accepting new patients |
Locations
1431 Interstate Loop
Bismarck, ND 58503
Phone (701) 223-5001
1431 Interstate Loop
Ste C
Bismarck, ND 58503
Phone (701) 204-7100
4719 Shelburne St
Ste 7
Bismarck, ND 58503
Phone (701) 223-5001
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.
-
- Chiropractor
- Bismarck, ND
- NPI 1285966192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1033294392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4719 SHELBURNE ST STE 7",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585035677",
"telephone_number": "701-223-5001",
"fax_number": "701-223-4709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4719 SHELBURNE ST STE 7",
"city": "BISMARCK",
"state": "ND",
"postal_code": "58503",
"telephone_number": "701-223-5001",
"fax_number": "701-223-4709"
}
],
"practiceLocations": [
{
"address_1": "1431 Interstate Loop",
"address_purpose": "LOCATION",
"city": "Bismarck",
"state": "ND",
"postal_code": "585030510",
"country_code": "US",
"telephone_number": "701-223-5001",
"fax_number": "701-223-4709",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEMECEK",
"first_name": "CAMERON",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "2942",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ND",
"identifier": "18812",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16241",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.