Active NPI
Brian Vance Jongeward, DC
- Rehabilitation Chiropractor
- Grand Forks, ND
National Provider Identifier
1376620831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 611
- Practice address
- 2812 17TH Ave South
Suite C
Grand Forks, ND 58201-4048 - Phone
- (701) 775-0223
- NPI assigned
- Nov 1, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- 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 | 611 | ND | |
| Rehabilitation Chiropractor | 111NR0400X | 611 | ND | Primary |
Addresses
Primary practice location
2812 17TH Ave South
Suite C
Grand Forks, ND 58201-4048
Mailing address
2812 17TH Ave S
Suite C
Grand Forks, ND 58201-4048
Phone (701) 775-0223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18728 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2812 17TH Ave S
Suite C
Grand Forks, ND 58201-4048
Phone (701) 775-0223
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 611 | ND | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian V Jongeward | Chiropractor | Current | Accepting new patients |
Locations
2812 17th Ave S
Ste C
Grand Forks, ND 58201
Phone (701) 775-0223
Organizations & group practices 1
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": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1376620831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2812 17TH AVE S",
"address_2": "SUITE C",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014048",
"telephone_number": "701-775-0223",
"fax_number": "701-738-0655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2812 17TH AVE SOUTH",
"address_2": "SUITE C",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014048",
"telephone_number": "701-775-0223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONGEWARD",
"first_name": "BRIAN",
"middle_name": "VANCE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "611",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "ND",
"license": "611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18728",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.