Individual provider Active NPI

Garret Swenson, D.C.

  • Chiropractor
  • Grand Forks, ND
National Provider Identifier
1285875666
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
839 Issued in ND
Practice address
402 University Ave
Suite 4
Grand Forks, ND 58203-3500
Phone
(701) 738-0990
Fax
(701) 738-0991
NPI assigned
Mar 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 839 ND Primary

Addresses

Primary practice location

402 University Ave
Suite 4
Grand Forks, ND 58203-3500

Mailing address

402 University Ave
Suite 4
Grand Forks, ND 58203-3500
Phone (701) 738-0990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004001368 ND Practitioner - Chiropractic 8921290354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Renewed Hope Chiropractic LLCGroup PAC ID 8426240847, 2 clinicians

Practice addresses (Care Compare)

1726 S Washington St
Grand Forks, ND 58201-6370
Phone (701) 738-0990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
839NDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Hope Chiropractic, LLC Chiropractor CurrentSince May 19, 2010 Accepting new patients

Locations

402 University Ave
Ste 4
Grand Forks, ND 58203
Phone (701) 330-8373

1726 S Washington St
Ste 79
Grand Forks, ND 58201
Phone (701) 738-0990

Organizations & group practices 1

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": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1285875666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 UNIVERSITY AVE",
            "address_2": "SUITE 4",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582033500",
            "telephone_number": "701-738-0990",
            "fax_number": "701-738-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 UNIVERSITY AVE",
            "address_2": "SUITE 4",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582033500",
            "telephone_number": "701-738-0990",
            "fax_number": "701-738-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "GARRET",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.