Organization Active NPI

Chiropractic Arts Clinic, LLC

  • Chiropractor
  • Minot, ND
National Provider Identifier
1467964684
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
740 Issued in ND
Legal business name
CHIROPRACTIC ARTS CLINIC, LLC
Practice address
1001 20TH Ave SW
Minot, ND 58701-6446
Phone
(701) 852-0158
Fax
(701) 852-5630
NPI assigned
Oct 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Authorized official

Name
Dr. Christopher Wade Falcon, D.C.NPI 1891766655
Title
Partner
Phone
(701) 852-0158

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 740 ND Primary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 716 ND
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 730 ND
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 867 ND

Addresses

Primary practice location

1001 20TH Ave SW
Minot, ND 58701-6446

Mailing address

1001 20TH Ave SW
Minot, ND 58701-6446
Phone (701) 852-0158

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171115000352 ND Part B Supplier - Clinic/Group Practice 8325304991 Receives reassigned benefits from 3 practitioners
Practice locations: Minot, ND

National Provider Directory

National Provider Directory

Locations

1001 20th Ave SW
Minot, ND 58701
Phone (701) 852-0158

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1467964684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 20TH AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016446",
            "telephone_number": "701-852-0158",
            "fax_number": "701-852-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 20TH AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016446",
            "telephone_number": "701-852-0158",
            "fax_number": "701-852-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC ARTS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "FALCON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "701-852-0158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "740",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "716",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "730",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.