Pokorny Chiropractic Clinic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

734 Issued in ND

Legal business name

POKORNY CHIROPRACTIC CLINIC, PC

Practice address

1035 3Rd Ave W
Dickinson, ND 58601-3802

Phone

(701) 225-6819

Fax

(701) 225-1976

NPI assigned

Mar 22, 2012

Last updated

Mar 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacy Veronica Pokorny

Title

Business Manager

Phone

(701) 225-6819

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: jeffp@pcc0015.direct.chirotouch.md
• Direct secure messaging: masonp@pcc0015.direct.chirotouch.md

Practitioners 5

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.

• Jeffrey D Pokorny, D.C

  • Chiropractor
  • Dickinson, ND
  • NPI 1710083175
  Medicare reassignment
• Chantel Vance, DC

  • Chiropractor
  • Rapid City, SD
  • NPI 1447776380
  NPD
• Sheldon R Gordon, D.C.

  • Chiropractor
  • Dickinson, ND
  • NPI 1144402850
  NPD (past)
• David C Pokorny, D.C

  • Chiropractor
  • Dickinson, ND
  • NPI 1588748149
  NPD (past)
• Brandi Johnson, M.S.N., RN, ACNP-BC

  • Nurse Practitioner
  • Modesto, CA
  • NPI 1407193378
  NPD (past)

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1255607305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 3RD AVE W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013802",
            "telephone_number": "701-225-6819",
            "fax_number": "701-225-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 3RD AVE W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013802",
            "telephone_number": "701-225-6819",
            "fax_number": "701-225-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POKORNY CHIROPRACTIC CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "POKORNY",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "VERONICA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "701-225-6819"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12770",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shantelle Lace Petroff
• Annah Peyiye
• Jordyn Alese Phelps, COTA/L
• Linda R Plaggemeyer
• Playfully You, PLLC
• David C Pokorny, D.C
• Jeffrey D Pokorny, D.C
• Linette L Polensky
• Rachel Potter
• Alma G Prado

• Chiropractor in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.