Individual provider Active NPI

Danielle Debra Schwanke

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1124918693
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1228 Issued in ND
Practice address
1555 43Rd St S
Fargo, ND 58103-3314
Phone
(701) 356-6700
NPI assigned
Jul 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1228 ND Primary

Addresses

Primary practice location

1555 43Rd St S
Fargo, ND 58103-3314

Mailing address

1555 43Rd St S Ste 107
Fargo, ND 58103-3314
Phone (701) 356-6700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260130003146 ND Practitioner - Chiropractic 3072091057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12 Cedar Dr
Mapleton, ND 58059-8500

1555 43Rd St S
Suite 107
Fargo, ND 58103-3314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1228NDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fetzer Family Chiropractic PLLC Chiropractor CurrentSince Jan 19, 2026 Accepting new patients

Locations

1555 43rd St S
Ste 107
Fargo, ND 58103
Phone (701) 356-6700

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": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1124918693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 43RD ST S STE 107",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033314",
            "telephone_number": "701-356-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 43RD ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033314",
            "telephone_number": "701-356-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWANKE",
        "first_name": "DANIELLE",
        "middle_name": "DEBRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1228",
            "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 Jul 7, 2025; 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.