Organization Active NPI

R&R Chiropractic PC

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1194095331
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
849 Issued in ND
Legal business name
R&R CHIROPRACTIC PC
Practice address
4903 Pumice Loop
Bismarck, ND 58503
Phone
(701) 720-8903
NPI assigned
Jan 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Authorized official

Name
Daniel Ernest Anderson, DCNPI 1578892303
Title
Owner
Phone
(701) 720-8903

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 SINGLE SPECIALTY GROUP 111N00000X 849 ND Primary
Clinic/Center 261Q00000X 849 ND

Addresses

Primary practice location

4903 Pumice Loop
Bismarck, ND 58503

Mailing address

4903 Pumice Loop
Bismarck, ND 58503-6158
Phone (701) 720-8903

Other names 1

  • ANDERSON HEALTH & WELLNESS PC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120314000340 ND Part B Supplier - Clinic/Group Practice 4789843541 Receives reassigned benefits from 1 practitioner
Practice locations: Bismarck, ND; Turtle Lake, ND

National Provider Directory

National Provider Directory

Locations

3138 N 10th St
#3A
Bismarck, ND 58503
Phone (701) 751-7071

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1194095331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 PUMICE LOOP",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036158",
            "telephone_number": "701-720-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 PUMICE LOOP",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58503",
            "telephone_number": "701-720-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R&R CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-720-8903",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "849",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ND",
            "license": "849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANDERSON HEALTH & WELLNESS PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 15, 2018; 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.