Joshua John Dahlen, DC
Individual provider Active NPI Chiropractor · Grand Forks, ND
NPI 1083253199 · NPPES record last updated Jan 6, 2020
Key facts
- NPI
- 1083253199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1117 (ND)
- Practice address
- 2625 24TH Ave S Ste B
Grand Forks, ND 58201-6539 - Phone
- (701) 746-7979
- Fax
- (701) 746-9758
- NPI assigned
- Jan 6, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blue Apple Wellness LLP
Practice addresses (Care Compare)
1650 45TH St S
Suite 113
Fargo, ND 58103-3247
Phone (701) 532-0397
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200207000008 | ND | Practitioner - Chiropractic | 9335575554 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Apple Wellness, LLP | Chiropractor | Current |
Accepting new patients |
| Blue Apple Wellness, LLP | Chiropractor | Current | Accepting new patients |
| Blue Apple Wellness, LLP | Chiropractor | Current |
Accepting new patients |
Locations
1001 W Interstate Ave
Ste 108
Bismarck, ND 58503
Phone (701) 751-1541
1650 45th St S
Ste 113
Fargo, ND 58103
Phone (701) 532-0397
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1117 | ND | Yes |
Addresses
Primary practice location
2625 24TH Ave S Ste B
Grand Forks, ND 58201-6539
Mailing address
2625 24TH Ave S Ste B
Grand Forks, ND 58201-6539
Phone (701) 746-7979
Other providers in Grand Forks, ND
- Ashlee Dagoberg
- Menuka Dahal
- Dahl Companion Care LLC
- Peggy Sue Dahl
- Wendy Dahlberg
- Cariann Marie Dahlquist
- Teresa Joy Dahlstrom
- Dakota Dental Associates PC
- Dakota Elevator and Lift Solutions, LLC
- Dakota Pediatric Dentistry Partnership
All providers in Grand Forks, 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 Jan 6, 2020. 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.