Organization Active NPI

All Seasons Full Body Chiropractic Center LLC

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1245526201
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ALL SEASONS FULL BODY CHIROPRACTIC CENTER LLC
Practice address
1402 43Rd St S Ste 200
Fargo, ND 58103-7500
Phone
(701) 356-0016
Fax
(701) 892-7064
NPI assigned
Jun 28, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Paul M Bekkum, DCNPI 1164431789
Title
Founder and President
Phone
(701) 356-0016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 5

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

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20110914000801 ND Part B Supplier - Clinic/Group Practice 2668643040 Receives reassigned benefits from 3 practitioners
Practice locations: Fargo, ND

National Provider Directory

National Provider Directory

Locations

1402 43rd St S
Ste 200
Fargo, ND 58103
Phone (701) 356-0016

4325 13th Ave S
Ste 5
Fargo, ND 58103
Phone (701) 212-1419

1102 43rd St S
Ste F
Fargo, ND 58103
Phone (701) 356-0016

1402 43rd St S
Fargo, ND 58103
Phone (701) 356-0016

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary
Health Service Clinic/Center 261QH0100X 788 ND

Addresses

NPPES NPI Registry

Primary practice location

1402 43Rd St S Ste 200
Fargo, ND 58103-7500

Mailing address

1402 43Rd St S Ste 200
Fargo, ND 58103-7500
Phone (701) 356-0016

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1164431789OtherNDNPI

Other names 1

NPPES NPI Registry
  • All Seasons Integrative Health Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 26, 2024.

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1245526201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 43RD ST S STE 200",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581037500",
            "telephone_number": "701-356-0016",
            "fax_number": "701-892-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 43RD ST S STE 200",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581037500",
            "telephone_number": "701-356-0016",
            "fax_number": "701-892-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL SEASONS FULL BODY CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-28",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "BEKKUM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FOUNDER AND PRESIDENT",
        "authorized_official_telephone_number": "701-356-0016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "ND",
            "license": "788",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164431789",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Seasons Integrative Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 26, 2024; 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.