Organization Active NPI

Ficek Chiropractic, PC

  • Chiropractor
  • Dickinson, ND
National Provider Identifier
1396824017
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
639 Issued in ND
Legal business name
FICEK CHIROPRACTIC, PC
Practice address
562 1/2 12TH St. W
Dickinson, ND 58601-3509
Phone
(701) 483-8824
Fax
(701) 483-1443
NPI assigned
Nov 3, 2006
Last updated
Jul 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Dr. Maripat Biel-Ficek, D.C.NPI 1043221880
Title
D.C./Sec/Treas.
Phone
(701) 483-8824

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 639 ND Primary
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X 638 ND

Addresses

Primary practice location

562 1/2 12TH St. W
Dickinson, ND 58601-3509

Mailing address

562 1/2 12TH St. W
Dickinson, ND 58601-3509
Phone (701) 483-8824

Other practice location 1

820 2nd Ave W
New England, ND 58647-7017
Phone (701) 483-8824

Other identifiers 3

IdentifierTypeStateIssuer
DG2247OtherNDRAILROAD MEDICARE
10391MedicaidND
14226MedicaidND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041004001003 ND Part B Supplier - Clinic/Group Practice 9931168119 Receives reassigned benefits from 2 practitioners
Practice locations: Dickinson, ND

National Provider Directory

National Provider Directory

Locations

562 12th St W
Dickinson, ND 58601
Phone (701) 483-1104

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": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1396824017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 1/2 12TH ST. W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013509",
            "telephone_number": "701-483-8824",
            "fax_number": "701-483-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 1/2 12TH ST. W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013509",
            "telephone_number": "701-483-8824",
            "fax_number": "701-483-1443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 2nd Ave W",
            "address_purpose": "LOCATION",
            "city": "New England",
            "state": "ND",
            "postal_code": "586477017",
            "country_code": "US",
            "telephone_number": "701-483-8824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FICEK CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "BIEL-FICEK",
        "authorized_official_first_name": "MARIPAT",
        "authorized_official_title_or_position": "D.C./SEC/TREAS.",
        "authorized_official_telephone_number": "701-483-8824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "639",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "ND",
            "license": "638",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG2247",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10391",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14226",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.