NPIMap

Organization Active NPI

Freedom Chiropractic Health Center, PC

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1124435946
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
889 Issued in ND
Legal business name
FREEDOM CHIROPRACTIC HEALTH CENTER, PC
Practice address
4342 15TH Ave S
Ste. 104
Fargo, ND 58103-1100
Phone
(701) 356-3242
Fax
(701) 356-3298
NPI assigned
Jul 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Dr. Jacob Lee Schmitz, D.C.NPI 1790065605
Title
Owner
Phone
(701) 356-3242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 889 ND Primary

Addresses

Primary practice location

4342 15TH Ave S
Ste. 104
Fargo, ND 58103-1100

Mailing address

4342 15TH Ave S
Ste. 104
Fargo, ND 58103-1100
Phone (701) 356-3242

National Provider Directory

National Provider Directory

Locations

4342 15th Ave S
Ste 104
Fargo, ND 58103
Phone (701) 356-3242

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1124435946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4342 15TH AVE S",
            "address_2": "STE. 104",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031100",
            "telephone_number": "701-356-3242",
            "fax_number": "701-356-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 15TH AVE S",
            "address_2": "STE. 104",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031100",
            "telephone_number": "701-356-3242",
            "fax_number": "701-356-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM CHIROPRACTIC HEALTH CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "SCHMITZ",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-356-3242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.