Organization Active NPI

B.K. Spine Care, Inc.

Doing business as Lordex Spine Institute

  • Physical Therapist
  • Fargo, ND
National Provider Identifier
1306923644
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
B.K. SPINE CARE, INC.
Doing business as
Lordex Spine Institute
Practice address
2631 12TH Ave S
Fargo, ND 58103-8741
Phone
(701) 298-0065
Fax
(701) 298-0066
NPI assigned
Nov 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Becky Aaland
Title
Admin
Phone
(701) 298-0065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2631 12TH Ave S
Fargo, ND 58103-8741

Mailing address

2631 12TH Ave S
Fargo, ND 58103-8741
Phone (701) 298-0065

Other identifiers 2

IdentifierTypeStateIssuer
26502OtherNDBCBS OF ND PROVIDER #
51016MedicaidND

Other names 1

  • Lordex Spine Institute Doing business as

National Provider Directory

National Provider Directory

Locations

2631 12th Ave SW
Fargo, ND 58103
Phone (701) 232-0900

Practitioners & affiliated clinicians

Practitioners 5

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306923644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 12TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038741",
            "telephone_number": "701-298-0065",
            "fax_number": "701-298-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 12TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038741",
            "telephone_number": "701-298-0065",
            "fax_number": "701-298-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B.K. SPINE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AALAND",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "701-298-0065",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ND PROVIDER #",
            "identifier": "26502",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51016",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lordex Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.