Organization Active NPI

Northern Family Wellness & Chiropractic

  • Clinic/Center
  • Harvey, ND
National Provider Identifier
1295032159
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
873 Issued in ND
Legal business name
NORTHERN FAMILY WELLNESS & CHIROPRACTIC
Practice address
2972 25TH St NE
Harvey, ND 58341-9301
Phone
(701) 324-4722
NPI assigned
Feb 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Dr. Amy Jo FelchleNPI 1720382153
Title
Owner/President
Phone
(701) 324-4722

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 873 ND Primary

Addresses

Primary practice location

2972 25TH St NE
Harvey, ND 58341-9301

Mailing address

2972 25TH St NE
PO Box 415
Harvey, ND 58341-9301
Phone (701) 324-4722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110419000438 ND Part B Supplier - Clinic/Group Practice 5496930398 Receives reassigned benefits from 1 practitioner
Practice locations: Harvey, ND

National Provider Directory

National Provider Directory

Locations

2972 25th St NE
Harvey, ND 58341
Phone (701) 324-4722

2972 25th St NE
#415
Harvey, ND 58341

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1295032159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2972 25TH ST NE",
            "address_2": "PO BOX 415",
            "city": "HARVEY",
            "state": "ND",
            "postal_code": "583419301",
            "telephone_number": "701-324-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2972 25TH ST NE",
            "city": "HARVEY",
            "state": "ND",
            "postal_code": "583419301",
            "telephone_number": "701-324-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN FAMILY WELLNESS & CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "FELCHLE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "701-324-4722",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ND",
            "license": "873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.