Organization Active NPI

Dakota Life Chiropractic, P.C.

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1174776439
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
818 Issued in ND
Legal business name
DAKOTA LIFE CHIROPRACTIC, P.C.
Practice address
1929 N Washington St
Suite Oa
Bismarck, ND 58501-1616
Phone
(701) 255-7800
NPI assigned
Oct 30, 2008
Last updated
Jun 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Dr. Elizabeth Ann Seil, D.C.NPI 1730331117
Title
Secretary/Treasurer
Phone
(701) 255-7800

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 822 ND
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 818 ND Primary

Addresses

Primary practice location

1929 N Washington St
Suite Oa
Bismarck, ND 58501-1616

Mailing address

1929 N Washington St
Suite Oa
Bismarck, ND 58501-1616
Phone (701) 255-7800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081209000508 ND Part B Supplier - Clinic/Group Practice 3274694245 Receives reassigned benefits from 2 practitioners
Practice locations: Bismarck, ND

National Provider Directory

National Provider Directory

Locations

1929 N Washington St
Ste Gg
Bismarck, ND 58501
Phone (701) 751-2315

1929 N Washington St
Ste O
Bismarck, ND 58501
Phone (701) 255-7800

1929 N Washington St
Ste Oa
Bismarck, ND 58501
Phone (701) 255-7800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1174776439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 N WASHINGTON ST",
            "address_2": "SUITE OA",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011616",
            "telephone_number": "701-255-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 N WASHINGTON ST",
            "address_2": "SUITE OA",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011616",
            "telephone_number": "701-255-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA LIFE CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "SEIL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "701-255-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "822",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.