Individual provider Active NPI

Paul Pearson, D.C.

  • Chiropractor
  • Minot, ND
National Provider Identifier
1164833919
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
970 Issued in ND
Practice address
1310 Burdick Expy E
Minot, ND 58701-4912
Phone
(701) 852-5230
NPI assigned
May 14, 2014
Last updated
Feb 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 970 ND Primary
Rehabilitation Chiropractor 111NR0400X 970 ND

Addresses

Primary practice location

1310 Burdick Expy E
Minot, ND 58701-4912

Mailing address

1310 Burdick Expy E
Suite a
Minot, ND 58701-4912
Phone (701) 852-5230

Other identifiers 1

IdentifierTypeStateIssuer
970OtherNDCHIROPRACTIC ASSOCIATION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140630000374 ND Practitioner - Chiropractic 6002031382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
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
970NDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pearson Chiropractic, PLLC Chiropractor CurrentSince May 14, 2014 Accepting new patients

Locations

1310 Burdick Expy E
Ste A
Minot, ND 58701
Phone (701) 837-9900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1164833919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 BURDICK EXPY E",
            "address_2": "SUITE A",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014912",
            "telephone_number": "701-852-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 BURDICK EXPY E",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014912",
            "telephone_number": "701-852-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "PAUL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "970",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "ND",
            "license": "970",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC ASSOCIATION",
            "identifier": "970",
            "state": "ND"
        }
    ],
    "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 Feb 25, 2015; 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.