Organization Active NPI

Optimal Health

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1265701551
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
703 Issued in ND
Legal business name
OPTIMAL HEALTH
Practice address
3369 39TH St S
Suite 3
Fargo, ND 58104-7542
Phone
(701) 367-6980
NPI assigned
Dec 15, 2011
Last updated
Dec 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Dr. Bryon Carl Keil, DCNPI 1063536704
Title
Owner
Phone
(701) 367-6980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 703 ND Primary

Addresses

Primary practice location

3369 39TH St S
Suite 3
Fargo, ND 58104-7542

Mailing address

3369 39TH St S
Suite 3
Fargo, ND 58104-7542
Phone (701) 367-6980

National Provider Directory

National Provider Directory

Locations

3369 39th St S
Ste 2
Fargo, ND 58104
Phone (701) 367-4271

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1265701551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3369 39TH ST S",
            "address_2": "SUITE 3",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047542",
            "telephone_number": "701-367-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3369 39TH ST S",
            "address_2": "SUITE 3",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047542",
            "telephone_number": "701-367-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "KEIL",
        "authorized_official_first_name": "BRYON",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-367-6980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 15, 2011; 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.