Active NPI
John Edward Dallman, DC
- Chiropractor
- Grand Forks, ND
National Provider Identifier
1437142486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3327
- Practice address
- 1395 S Columbia Rd
Suite B
Grand Forks, ND 58201-4054 - Phone
- (701) 775-3215
- NPI assigned
- Aug 24, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 575 | ND | |
| Chiropractor | 111N00000X | 3327 | MN | Primary |
Addresses
Primary practice location
1395 S Columbia Rd
Suite B
Grand Forks, ND 58201-4054
Mailing address
1395 S Columbia Rd
Suite B
Grand Forks, ND 58201-4054
Phone (701) 775-3215
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5C117DA | Other | MN | BLUE CROSS BLUE SHIELD |
| DAL14199 | Other | ND | BLUE CROSS BLUE SHIELD |
| 11995 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1395 S Columbia Rd
Suite B
Grand Forks, ND 58201-4054
Phone (701) 775-3215
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 575 | ND | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallman Chiropractic PC | Current | Accepting new patients |
Locations
1395 S Columbia Rd
Ste B
Grand Forks, ND 58201
Phone (701) 775-3215
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 and National Provider Directory roles.
-
- Clinic/Center
- Grand Forks, ND
- NPI 1831425685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1437142486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 S COLUMBIA RD",
"address_2": "SUITE B",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014054",
"telephone_number": "701-775-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 S COLUMBIA RD",
"address_2": "SUITE B",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582014054",
"telephone_number": "701-775-3215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALLMAN",
"first_name": "JOHN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "575",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3327",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5C117DA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "DAL14199",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11995",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.