Organization Active NPI

Robert H. Walth Jr.

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1396284048
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
487 Issued in ND
Legal business name
ROBERT H. WALTH JR.
Practice address
1655 N Grandview LN
Suite 204
Bismarck, ND 58503-0877
Phone
(701) 751-2020
NPI assigned
Feb 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Dr. Robert Henry Walth, DC
Title
Owner
Phone
(701) 751-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 487 ND Primary

Addresses

Primary practice location

1655 N Grandview LN
Suite 204
Bismarck, ND 58503-0877

Mailing address

1655 East Grandview Lane
Suite 204
Bismarck, ND 58503-0877
Phone (701) 751-2020

Other names 1

  • Walth Chiropractic Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1396284048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 EAST GRANDVIEW LANE",
            "address_2": "SUITE 204",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030877",
            "telephone_number": "701-751-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 N GRANDVIEW LN",
            "address_2": "SUITE 204",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030877",
            "telephone_number": "701-751-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT H. WALTH JR.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "WALTH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-751-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walth Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 14, 2017; 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.