Active NPI
Beth Ann Nokken, DC
- Chiropractor
- Moorhead, MN
National Provider Identifier
1326158908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3240
- Practice address
- 1220 2ND Ave S
Nokken Chiropractic Clinic LTD
Moorhead, MN 56560 - Phone
- (218) 233-1188
- Fax
- (218) 287-1829
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3240 | MN | Primary |
| Chiropractor | 111N00000X | 578 | ND |
Addresses
Primary practice location
1220 2ND Ave S
Nokken Chiropractic Clinic LTD
Moorhead, MN 56560
Mailing address
1220 2ND Ave S
Nokken Chiropractic Clinic LTD
Moorhead, MN 56560
Phone (218) 233-1188
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4C943NO | Other | MN | BCBS |
| 13845 | Other | ND | BCBS |
| 076723900 | Medicaid | MN |
Other names 1
- Mrs. Beth Ann Nokken Hanson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1220 2ND Ave S
Moorhead, MN 56560-2909
Phone (218) 233-1188
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 578 | ND | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nokken Chiropractic Clinic LTD | Chiropractor | Current | Accepting new patients |
| Activecare Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
1220 2nd Ave S
Moorhead, MN 56560
Phone (218) 233-1188
Organizations & group practices 2
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.
-
- Chiropractor
- Moorhead, MN
- NPI 1164595955
-
- Chiropractor
- Alexandria, MN
- NPI 1861573974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353283200000",
"number": "1326158908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 2ND AVE S",
"address_2": "NOKKEN CHIROPRACTIC CLINIC LTD",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "56560",
"telephone_number": "218-233-1188",
"fax_number": "218-287-1829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 2ND AVE S",
"address_2": "NOKKEN CHIROPRACTIC CLINIC LTD",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "56560",
"telephone_number": "218-233-1188",
"fax_number": "218-287-1829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOKKEN",
"first_name": "BETH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2012-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3240",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "578",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4C943NO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "13845",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "076723900",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "NOKKEN HANSON",
"middle_name": "ANN",
"prefix": "MRS.",
"credential": "DC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Moorhead, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.