Organization Active NPI

Peak Spine and Wellness PLLC

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1386368777
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PEAK SPINE AND WELLNESS PLLC
Practice address
3260 Veterans Blvd S
Fargo, ND 58104-3341
Phone
(218) 234-0505
NPI assigned
Sep 28, 2022
Last updated
Sep 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Authorized official

Name
Emily Payne, DCNPI 1558959973
Title
Owner
Phone
(218) 234-0505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3260 Veterans Blvd S
Fargo, ND 58104-3341

Mailing address

3260 Veterans Blvd S
Fargo, ND 58104-3341
Phone (218) 234-0505

National Provider Directory

National Provider Directory

Locations

3260 Veterans Blvd S
Fargo, ND 58104
Phone (218) 234-0505

3260 Veterans Blvd S
Ste 105
Fargo, ND 58104
Phone (218) 234-0505

Practitioners & affiliated clinicians

Practitioners 1

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": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1386368777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 VETERANS BLVD S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581043341",
            "telephone_number": "218-234-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 VETERANS BLVD S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581043341",
            "telephone_number": "218-234-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK SPINE AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-234-0505",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 28, 2022; 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.