Advance Chiropractic Center PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ADVANCE CHIROPRACTIC CENTER PLLC

Practice address

2840 19TH Ave S
Grand Forks, ND 58201-5957

Phone

(701) 772-2670

Fax

(701) 772-2706

NPI assigned

Jul 17, 2018

Last updated

Jul 17, 2018By 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

Julie Ann Hanson

Title

Office Manager

Phone

(701) 772-2670

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Practitioners 5

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.

• John T Fulp, D.C.

  • Chiropractor
  • Grand Forks, ND
  • NPI 1003814484
  Medicare reassignment Care Compare group NPD
• Marshal H Pederson, DC

  • Chiropractor
  • Grand Forks, ND
  • NPI 1508333527
  Medicare reassignment Care Compare group NPD
• Jonathan Edward Jelinek, D.C.

  • Chiropractor
  • Grafton, ND
  • NPI 1538166624
  NPD (past)
• Todd Schlager, D.C.

  • Chiropractor
  • Grand Forks, ND
  • NPI 1972595379
  NPD (past)
• Jaclyn Merry Bergstrom, D.C

  • Chiropractor
  • Portland, OR
  • NPI 1598715336
  NPD (past)

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1104302793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 19TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015957",
            "telephone_number": "701-772-2670",
            "fax_number": "701-772-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 19TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582015957",
            "telephone_number": "701-772-2670",
            "fax_number": "701-772-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "701-772-2670"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1679570758",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1003814484",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maisie Addison
• Seye Adekeye, M.D., PH.D.
• Mohammad Amin Adie, MD
• Gloria A Adjekum, MD
• Kenneth Aduba, M.D
• Advance Chiropractic Clinic, P.C.
• Advanced Eyecare
• Advanced Looks Eye Care PC
• Akossiwa Afawubo
• Agassiz Associates, PLLC

• 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 Jul 17, 2018; 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.