Core Health Chiro PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

8601 Issued in ND

Legal business name

CORE HEALTH CHIRO PA

Practice address

4955 17TH Ave S
Suite 108
Fargo, ND 58103

Phone

(701) 364-2673

NPI assigned

May 20, 2008

Organization subpart

Yes

Parent organization

CORE HEALTH CHIRO PAAs reported in NPPES

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

Authorized official

Name

Dr. Dustin James Barton, DCNPI 1568632347

Title

Chiropractor

Phone

(701) 364-2673

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Part of

Core Health Chiro PA

Locations

Practitioners 3

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

• Dustin James Barton

  • Chiropractor
  • Fargo, ND
  • NPI 1568632347
  Medicare reassignment Authorized official
• Lauren Hanson

  • Chiropractor
  • Fargo, ND
  • NPI 1316511371
  NPD
• Joshua Nathan Jaeger, D.C.

  • Chiropractor
  • Fargo, ND
  • NPI 1669702536
  NPD (past)

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1144487893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 17TH AVE S",
            "address_2": "SUITE 108",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58103",
            "telephone_number": "701-364-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 17TH AVE S",
            "address_2": "SUITE 108",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58103",
            "telephone_number": "701-364-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE HEALTH CHIRO PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORE HEALTH CHIRO PA",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "701-364-2673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ND",
            "license": "8601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark C Cooper, MD
• Robert Ian Cooper, M.D.
• Rachel Coppin
• Sara Corbett
• Core Chiropractic PLLC
• Jessica Lee Cornelius
• Scott Corneliussen, ATC
• Stephanie J Corneliussen, PSYD
• Corner Medical LLC
• Cornerstone Caregiving East LLC

• Clinic/Center in Fargo, ND
• Providers in Fargo, ND by specialty
• Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.