Summit Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

878 Issued in ND

Legal business name

SUMMIT CHIROPRACTIC, PLLC

Practice address

300 45TH St S
315
Fargo, ND 58103-1189

Phone

(701) 356-7660

NPI assigned

Mar 25, 2011

Organization subpart

No

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

Authorized official

Name

Stephanie Ann Roers I, D.C.NPI 1750683389

Title

Chiropractor

Phone

(701) 356-7660

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Roers, D.C.

  • Chiropractor
  • Fargo, ND
  • NPI 1750683389
  Medicare reassignment NPD Authorized official
• Brad Feldner, D.C.

  • Chiropractor
  • Fargo, ND
  • NPI 1861693038
  Medicare reassignment NPD

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1093014235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 45TH ST S",
            "address_2": "315",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031189",
            "telephone_number": "701-356-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 45TH ST S",
            "address_2": "315",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031189",
            "telephone_number": "701-356-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "ROERS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "701-356-7660",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Sullivan
• Patricia Sullivan, MS-SLP
• Sean Mike Sullivan
• Diane M Summers
• Michele Summers
• Molly Sundbom, PT, DPT
• Lizette Sunde, DPT
• Bobbie Sunderland, MOTR/L
• Ronald D Sundquist, LPC
• Krenda Jay Sundseth

• Chiropractor in Fargo, ND
• Providers in Fargo, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.