Active NPI
Christian Melvin Haug, D.C.
- Chiropractor
- Fargo, ND
National Provider Identifier
1154489599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 646
- Practice address
- 3301 13TH Ave SW
Ste #3
Fargo, ND 58103 - Phone
- (701) 234-0057
- Fax
- (701) 234-0422
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 646 | ND | Primary |
Addresses
Primary practice location
3301 13TH Ave SW
Ste #3
Fargo, ND 58103
Mailing address
3301 13TH Ave SW
Ste #3
Fargo, ND 58103
Phone (701) 234-0057
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010594 | Medicaid | ND | |
| 19397 | Other | ND | BLUE CROSS & BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120314000115 | ND | Practitioner - Chiropractic | 6507025343 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3254 Oak Ridge Loop E
West Fargo, ND 58078-8482
Phone (701) 234-0057
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151 | ND | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haug Chiropractic, PC | Chiropractor | Current | Accepting new patients |
Locations
3301 13th Ave S
Fargo, ND 58103
Phone (701) 234-0057
3301 13th Ave S
Ste 3
Fargo, ND 58103
Phone (701) 234-0057
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.
-
- Chiropractor
- Fargo, ND
- NPI 1689966426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1154489599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 13TH AVE SW",
"address_2": "STE #3",
"city": "FARGO",
"state": "ND",
"postal_code": "58103",
"telephone_number": "701-234-0057",
"fax_number": "701-234-0422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 13TH AVE SW",
"address_2": "STE #3",
"city": "FARGO",
"state": "ND",
"postal_code": "58103",
"telephone_number": "701-234-0057",
"fax_number": "701-234-0422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUG",
"first_name": "CHRISTIAN",
"middle_name": "MELVIN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010594",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "19397",
"state": "ND"
}
],
"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 Mar 29, 2012; 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.