Killdeer Chiropractic Acupuncture & Bodywork

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

977 Issued in ND

Legal business name

KILLDEER CHIROPRACTIC ACUPUNCTURE & BODYWORK

Practice address

42 Central Ave S
Killdeer, ND 58640-4000

Phone

(701) 764-7227

NPI assigned

Dec 29, 2014

Last updated

Dec 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shane Wetzel

Title

Sole Member

Phone

(701) 764-7227

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1487042438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 902",
            "city": "KILLDEER",
            "state": "ND",
            "postal_code": "586400902",
            "telephone_number": "701-764-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CENTRAL AVE S",
            "city": "KILLDEER",
            "state": "ND",
            "postal_code": "586404000",
            "telephone_number": "701-764-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILLDEER CHIROPRACTIC ACUPUNCTURE & BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "WETZEL",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "701-764-7227"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Killdeer Area Ambulance Service
• Killdeer Pharmacy Inc.
• Suzanne Kostenko, CNP
• Eden Marie McMurtry
• Janis Neumann, NP
• Joyce Yvonne Ryan

• Chiropractor in Killdeer, ND
• Providers in Killdeer, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.