Jonathon H Redington, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

614 Issued in ND

Practice address

205 Sheyenne St
West Fargo, ND 58078-1752

Phone

(701) 282-2919

Fax

(701) 282-2932

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Fargo Chiropractic Center PCGroup PAC ID 3678718129, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• West Fargo Chiropractic Center PC

  • Chiropractor
  • West Fargo, ND
  • NPI 1144566746
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1285642280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SHEYENNE ST STE 3",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580781752",
            "telephone_number": "701-282-2919",
            "fax_number": "701-282-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SHEYENNE ST",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580781752",
            "telephone_number": "701-282-2919",
            "fax_number": "701-282-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDINGTON",
        "first_name": "JONATHON",
        "middle_name": "H",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "RED20140",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350048167",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18723",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Red River Human Services Foundation
• Red River Human Services Foundation
• Red River Human Services Foundation
• Red River Human Services Foundation
• Bruce L Redington, DC
• Rehabready LLC
• Madysen Geneva Rehovsky, PT, DPT
• Resilient at KD Consulting and Therapy
• Jordan Reznecheck
• Richard L. Callender, DDS, PC

• Chiropractor in West Fargo, ND
• Providers in West Fargo, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.