Individual provider Active NPI

Rodney Tucker Paul Wojahn, DC

  • Chiropractor
  • Minot, ND
National Provider Identifier
1114640893
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1173 Issued in ND
Practice address
2301 15TH St SW
Minot, ND 58701-6933
Phone
(701) 852-5230
NPI assigned
Sep 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1173 ND Primary

Addresses

Primary practice location

2301 15TH St SW
Minot, ND 58701-6933

Mailing address

2301 15TH St SW
Minot, ND 58701-6933
Phone (701) 852-5230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221220001846 ND Practitioner - Chiropractic 9133598816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pearson Chiropractic PLLCGroup PAC ID 4486879764, 4 clinicians

Practice addresses (Care Compare)

2301 15TH St SW
Minot, ND 58701-6933
Phone (701) 852-5230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1173NDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pearson Chiropractic, PLLC Chiropractor CurrentSince Sep 8, 2022 Accepting new patients

Locations

2301 15th St SW
Minot, ND 58701
Phone (701) 852-5230

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1114640893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 15TH ST SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016933",
            "telephone_number": "701-852-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 15TH ST SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016933",
            "telephone_number": "701-852-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJAHN",
        "first_name": "RODNEY",
        "middle_name": "TUCKER PAUL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.