Organization Active NPI

One Light Chiropractic LTD

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1215432125
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
915 Issued in ND
Legal business name
ONE LIGHT CHIROPRACTIC LTD
Doing business as
One Light Chirpractic
Practice address
1650 45TH St S Ste 204
Fargo, ND 58103-3247
Phone
(701) 306-0714
Fax
(701) 282-8760
NPI assigned
Mar 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. John Schellenberg, DC
Title
President
Phone
(170) 186-6825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 915 ND Primary

Addresses

Primary practice location

1650 45TH St S Ste 204
Fargo, ND 58103-3247

Mailing address

5574 Sunflower LN S
Fargo, ND 58104-3962
Phone (701) 866-8256

Other names 2

  • One Light Chirpractic Doing business as
  • Inrlux Ltd Former legal business name

National Provider Directory

National Provider Directory

Locations

1650 45th St S
Ste 204
Fargo, ND 58103
Phone (701) 306-0714

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": "1521936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1215432125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5574 SUNFLOWER LN S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581043962",
            "telephone_number": "701-866-8256",
            "fax_number": "701-282-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 45TH ST S STE 204",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033247",
            "telephone_number": "701-306-0714",
            "fax_number": "701-282-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE LIGHT CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-25",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SCHELLENBERG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "170-186-6825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Light Chirpractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Inrlux Ltd",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Inrlux Ltd",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.