NPIMap

Organization Active NPI

Venture Chiropractic PA Corp

Doing business as Venture Chiropractic

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1326370602
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
910 Issued in ND
Legal business name
VENTURE CHIROPRACTIC PA CORP
Doing business as
Venture Chiropractic
Practice address
3252 51St St S Ste a
Fargo, ND 58104-7897
Phone
(701) 730-3867
Fax
(701) 356-2992
NPI assigned
Feb 11, 2010
Last updated
Aug 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Authorized official

Name
Dr. Melanie A Dockter, D.C.NPI 1497989602
Title
Chiropractor/Owner/Vicepres
Phone
(701) 730-3867

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 841 ND
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 910 ND Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 5210 MN
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 5211 MN

Addresses

Primary practice location

3252 51St St S Ste a
Fargo, ND 58104-7897

Mailing address

3252 51St St S Ste a
Fargo, ND 58104-7897
Phone (701) 730-3867

Other names 1

  • Venture Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120823000053 ND Part B Supplier - Clinic/Group Practice 8820129141 Receives reassigned benefits from 3 practitioners
Practice locations: Fargo, ND

National Provider Directory

National Provider Directory

Locations

2553 Kirsten Ln S
Ste 207
Fargo, ND 58104
Phone (701) 232-8200

3252 51st St S
Ste A
Fargo, ND 58104
Phone (701) 730-3867

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": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1326370602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3252 51ST ST S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047897",
            "telephone_number": "701-730-3867",
            "fax_number": "701-356-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 51ST ST S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047897",
            "telephone_number": "701-730-3867",
            "fax_number": "701-356-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURE CHIROPRACTIC PA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "DOCKTER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER/VICEPRES",
        "authorized_official_telephone_number": "701-730-3867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "841",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "910",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5210",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Venture Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Venture Chiropractic",
            "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 20, 2020; 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.