701 Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

893 Issued in ND

Legal business name

701 CHIROPRACTIC PC

Practice address

201 University Ave W
Minot, ND 58703-2349

Phone

(701) 858-0014

NPI assigned

Feb 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jesse D. Keogh, D.C.

Title

Owner/Doctor of Chiropractic

Phone

(701) 858-0014

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1346589264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 UNIVERSITY AVE W",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587032349",
            "telephone_number": "701-858-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 UNIVERSITY AVE W",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587032349",
            "telephone_number": "701-858-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "701 CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "KEOGH",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "701-858-0014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.