Organization Active NPI

Adjust Life, LTD

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1346411873
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
805 Issued in ND
Legal business name
ADJUST LIFE, LTD
Practice address
2000 N 19TH St
Bismarck, ND 58501-2159
Phone
(701) 255-5000
Fax
(701) 255-5001
NPI assigned
Mar 12, 2008
Last updated
Mar 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Dr. Joel William Roloff, D.C.NPI 1750566840
Title
Owner
Phone
(701) 255-5000

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)CodeLicenseStatePrimary
Chiropractor 111N00000X 805 ND Primary

Addresses

Primary practice location

2000 N 19TH St
Bismarck, ND 58501-2159

Mailing address

2000 N 19TH St
Bismarck, ND 58501-2159

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080401000582 ND Part B Supplier - Clinic/Group Practice 2264519271 Receives reassigned benefits from 2 practitioners
Practice locations: Bismarck, ND

National Provider Directory

National Provider Directory

Locations

2000 N 19th St
Bismarck, ND 58501
Phone (701) 222-8322

Practitioners & affiliated clinicians

Practitioners 2

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": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1346411873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N 19TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N 19TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012159",
            "telephone_number": "701-255-5000",
            "fax_number": "701-255-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADJUST LIFE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "ROLOFF",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-255-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.