Individual provider Active NPI

Brent L Thomsen, D.C.

  • Chiropractor
  • Valley City, ND
National Provider Identifier
1326332032
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
883 Issued in ND
Practice address
1530 W Main St
Valley City, ND 58072-3648
Phone
(701) 845-2481
Fax
(701) 845-8747
NPI assigned
May 31, 2011
Last updated
May 31, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 883 ND Primary

Addresses

Primary practice location

1530 W Main St
Valley City, ND 58072-3648

Mailing address

1530 W Main St
Valley City, ND 58072-3648
Phone (701) 845-2481

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120319000117 ND Practitioner - Chiropractic 1658530225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1530 W Main St
Valley City, ND 58072-3648
Phone (701) 845-2481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomsen Chiropractic PC Chiropractor CurrentSince Jan 4, 2013 Accepting new patients
Thomsen Chiropractic Clinic Chiropractor PastSince Jan 14, 2013 Accepting new patients

Locations

1530 W Main St
Valley City, ND 58072
Phone (701) 845-2481

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1326332032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 W MAIN ST",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580723648",
            "telephone_number": "701-845-2481",
            "fax_number": "701-845-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 W MAIN ST",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580723648",
            "telephone_number": "701-845-2481",
            "fax_number": "701-845-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSEN",
        "first_name": "BRENT",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley City, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.