Red River Family Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

649 Issued in ND

Legal business name

RED RIVER FAMILY CHIROPRACTIC, PC

Practice address

2534 17TH Ave S
Suite 2D
Grand Forks, ND 58201-5215

Phone

(701) 746-8636

Fax

(701) 746-8827

NPI assigned

Jan 18, 2008

Last updated

May 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Robert Thomsen, DCNPI 1801888342

Title

President/Owner

Phone

(701) 746-8636

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley Robert Thomsen, D.C.

  • Chiropractor
  • Grand Forks, ND
  • NPI 1801888342
  Medicare reassignment NPD Authorized official
• Todd Schlager, D.C.

  • Chiropractor
  • Grand Forks, ND
  • NPI 1972595379
  NPD (past)

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1033395280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12875",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582082875",
            "telephone_number": "701-746-8636",
            "fax_number": "701-746-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 17TH AVE S",
            "address_2": "SUITE 2D",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015215",
            "telephone_number": "701-746-8636",
            "fax_number": "701-746-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "THOMSEN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "701-746-8636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13185",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Narendra Nath Ravi, M.D
• Jon F Raymond, MD
• Laura A Raymond, MD
• Stephanie Raza
• Red River Behavioral Health System (Meridian Behavioral Health LLC)
• Red River Neurology Clinic
• Red River Stepping Stones
• Camille Redmann, LCSW
• Rehabauthority, LLC
• Rehabilitation Hospital of Grand Forks, LLC (Altru Rehabilitation Hospital)

• Chiropractor in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.