Individual provider Active NPI

Zoe M Little Owl

  • Neurology Chiropractor
  • Fargo, ND
National Provider Identifier
1063037786
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
21423456 Issued in MN
Practice address
900 42ND St S
Fargo, ND 58103-2119
Phone
(701) 277-5183
NPI assigned
Jun 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 21423456 MN Primary

Addresses

Primary practice location

900 42ND St S
Fargo, ND 58103-2119

Mailing address

900 42ND St S
Fargo, ND 58103-2119
Phone (701) 277-5183

Other identifiers 1

IdentifierTypeStateIssuer
555456MedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 00000d0fdsad Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21423456MNMDNeurology Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1063037786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 42ND ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032119",
            "telephone_number": "701-277-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 42ND ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032119",
            "telephone_number": "701-277-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE OWL",
        "first_name": "ZOE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "MN",
            "license": "21423456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "555456",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "00000d0fdsad",
            "affiliation": "N",
            "endpointDescription": "noridain",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "900 42nd St S",
            "city": "Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581032119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 9, 2020; 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.