Active NPI
Chad Joseph Harrison, D.C.
- Chiropractor
- Fargo, ND
National Provider Identifier
1396875266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 727
- Practice address
- 4201 38TH St S
Suite 207
Fargo, ND 58104 - Phone
- (701) 893-3160
- Fax
- (701) 893-3161
- NPI assigned
- Mar 7, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 727 | ND | Primary |
Addresses
Primary practice location
4201 38TH St S
Suite 207
Fargo, ND 58104
Mailing address
4201 38TH St S
Suite 207
Fargo, ND 58104
Phone (701) 893-3160
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13461 | Medicaid | ND | |
| 207M7HA | Other | MN | BCBS OF MN |
| 666422 | Other | MN | CHIROCARE MN |
| 25583 | Other | ND | BCBS OF ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrison Chiropractic & Massage, PC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Fargo, ND
- NPI 1518144575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396875266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 38TH ST S",
"address_2": "SUITE 207",
"city": "FARGO",
"state": "ND",
"postal_code": "58104",
"telephone_number": "701-893-3160",
"fax_number": "701-893-3161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 38TH ST S",
"address_2": "SUITE 207",
"city": "FARGO",
"state": "ND",
"postal_code": "58104",
"telephone_number": "701-893-3160",
"fax_number": "701-893-3161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "CHAD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "727",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13461",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "207M7HA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROCARE MN",
"identifier": "666422",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ND",
"identifier": "25583",
"state": "ND"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.