Individual provider Active NPI

Elizabeth Ellis, DC

  • Chiropractor
  • Bottineau, ND
National Provider Identifier
1245048990
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1218 Issued in ND
Practice address
114 5TH St W
Bottineau, ND 58318-1211
Phone
(701) 228-3873
NPI assigned
Dec 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1218 ND Primary

Addresses

Primary practice location

114 5TH St W
Bottineau, ND 58318-1211

Mailing address

114 5TH St W
Bottineau, ND 58318-1211
Phone (701) 228-3873

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250117003614 ND Practitioner - Chiropractic 1153850292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True North Chiropractic PCGroup PAC ID 3274835657, 3 clinicians

Practice addresses (Care Compare)

114 5TH St W
Bottineau, ND 58318-1211
Phone (701) 228-3873

909 11TH St E
Bottineau, ND 58318-1855
Phone (701) 228-2275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1218NDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
True North Chiropractic, PC Chiropractor CurrentSince Jan 6, 2025 Accepting new patients
Chirofusion PLLC Chiropractor CurrentSince Dec 16, 2025 Accepting new patients

Locations

114 5th St W
Bottineau, ND 58318
Phone (701) 228-3873

909 11th St E
Bottineau, ND 58318
Phone (701) 228-2275

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1245048990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 5TH ST W",
            "city": "BOTTINEAU",
            "state": "ND",
            "postal_code": "583181211",
            "telephone_number": "701-228-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 5TH ST W",
            "city": "BOTTINEAU",
            "state": "ND",
            "postal_code": "583181211",
            "telephone_number": "701-228-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-27",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bottineau, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.