Ashley Ann Ueckert, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1205 Issued in ND

Practice address

4711 45TH St S Ste 104
Fargo, ND 58104-5300

Phone

(701) 532-2523

NPI assigned

Dec 5, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sage Family Chiropractic PLLCGroup PAC ID 8325579295, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sage Family Chiropractic, PLLC

  • Chiropractor
  • Fargo, ND
  • NPI 1407603921
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1487421079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 45TH ST S STE 104",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045510",
            "telephone_number": "701-300-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 45TH ST S STE 104",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045300",
            "telephone_number": "701-532-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UECKERT",
        "first_name": "ASHLEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1205",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "ND",
            "license": "1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Tweten, OTR/L
• Kerri L Tweten, MNT
• Brittany Nicole Twiss, RD, LRD
• Tyrone L Crew
• Alissa Kristine Tyryfter
• Nicole Ueckert, RN
• Thomas Ugelstad, PMHNP-BC
• Marvin Lewis Ugland, DDS
• Sarah Uglem, PA-C
• Timothy P Uglem, DPM

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.