Jody Allen Walker, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

642 Issued in ND

Practice address

3001 S Columbia Rd Ste C
Grand Forks, ND 58201-6064

Phone

(701) 795-8818

Fax

(701) 795-4888

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grand Forks Chiropractic

  • Chiropractor
  • Grand Forks, ND
  • NPI 1881015246
  NPD (past) Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407947567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S COLUMBIA RD STE C",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016064",
            "telephone_number": "701-795-8818",
            "fax_number": "701-795-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S COLUMBIA RD STE C",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016064",
            "telephone_number": "701-795-8818",
            "fax_number": "701-795-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JODY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10713",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Wald
• Walker Dental PC
• Lashanta Walker Washington
• Alexis Rae Walker, LAPC
• Christina Rose Walker, APRN/CNP
• Tyshenna Walker
• Amanda Marie Walkowiak, PHD
• Melissa Marie Wallace Bernier
• Carrie Esther Wallace, PA
• Walls LTC Pharmacy Inc

• Chiropractor in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Chiropractor in North Dakota

• 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.
• 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.

Verify at the official NPI Registry.