Active NPI
Remillard, P.C.
- Chiropractor
- Bismarck, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- REMILLARD, P.C.
- Practice address
- 1122 W Divide Ave
Bismarck, ND 58501-1202 - Phone
- (701) 258-5058
- Fax
- (701) 258-1041
- NPI assigned
- Sep 26, 2007
- Last updated
- Feb 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kelly David Remillard
- Title
- Chiropractor
- Phone
- (701) 258-5058
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
1122 W Divide Ave
Bismarck, ND 58501-1202
Mailing address
1122 West Divide Ave
Bismarck, ND 58501-0212
Phone (701) 258-5058
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25373 | Other | ND | BCBS |
| 13407 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1122 W Divide Ave
Bismarck, ND 58501
Phone (701) 258-5058
1167 Border Ln
Washburn, ND 58577
Phone (701) 462-3389
Practitioners & affiliated clinicians
Practitioners 10
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.
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- Chiropractor
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-
- Physical Therapist
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-
- Independent Medical Examiner Chiropractor
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- NPI 1902618606
-
- Physical Therapist
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- NPI 1528430048
-
- Occupational Therapist
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- NPI 1467910182
-
- Physical Therapist
- Bismarck, ND
- NPI 1912177411
-
- Chiropractor
- Bismarck, ND
- NPI 1093867541
-
- Chiropractor
- Bismarck, ND
- NPI 1902958606
-
- Chiropractor
- Salt Lake City, UT
- NPI 1780878934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740528000000",
"number": "1477740199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 WEST DIVIDE AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585010212",
"telephone_number": "701-258-5058",
"fax_number": "701-258-1041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 W DIVIDE AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585011202",
"telephone_number": "701-258-5058",
"fax_number": "701-258-1041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REMILLARD, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-26",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A",
"authorized_official_last_name": "REMILLARD",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "701-258-5058",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "25373",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13407",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.