Active NPI
Northern Family Wellness & Chiropractic
- Clinic/Center
- Harvey, ND
National Provider Identifier
1295032159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 873
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amy Jo Felchle
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110419000438 | ND | Part B Supplier - Clinic/Group Practice | 5496930398 |
Receives reassigned benefits from 1 practitioner Practice locations: Harvey, ND |
National Provider Directory
National Provider DirectoryLocations
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.