Rock Solid Chiropractic in Jamestown

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ROCK SOLID CHIROPRACTIC IN JAMESTOWN

Doing business as

Rock Solid Chiropractic

Practice address

308 5TH Ave
Marion, ND 58466

Phone

(701) 830-0431

NPI assigned

Sep 19, 2019

Last updated

Dec 23, 2019By 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

Mandi Lynne Miedema, DCNPI 1003056961

Title

Owner

Phone

(701) 830-0431

Specialties & licenses 1

Addresses

Other names 1

• Rock Solid Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 3

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.

• Mandi Lynne Miedema, D.C.

  • Chiropractor
  • Falcon, CO
  • NPI 1003056961

  ND

  Medicare reassignment Care Compare group NPD Authorized official
• Samantha Zwirner, D.C.

  • Chiropractor
  • Jamestown, ND
  • NPI 1689486987
  Medicare reassignment Care Compare group NPD
• Stephen Phillip Kutscher, DC

  • Chiropractor
  • Falcon, CO
  • NPI 1285964593

  ND

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1073163176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 101ST AVE SE",
            "city": "MARION",
            "state": "ND",
            "postal_code": "584669643",
            "telephone_number": "701-830-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 5TH AVE",
            "city": "MARION",
            "state": "ND",
            "postal_code": "58466",
            "telephone_number": "701-830-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK SOLID CHIROPRACTIC IN JAMESTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "MIEDEMA",
        "authorized_official_first_name": "MANDI",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-830-0431",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Solid Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rock Solid Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.