Melanie Ann Dockter, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

910 Issued in ND

Practice address

2553 Kirsten LN S
Suite 207
Fargo, ND 58104-4901

Phone

(701) 730-3867

Fax

(701) 356-2992

NPI assigned

May 4, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Melanie Ann Clark Former name

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Venture Chiropractic PA CorpGroup PAC ID 8820129141, 3 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.

• Venture Chiropractic PA Corp

  dba Venture Chiropractic

  • Chiropractor
  • Fargo, ND
  • NPI 1326370602
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1497989602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2553 KIRSTEN LN S",
            "address_2": "STE 207",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044901",
            "telephone_number": "701-730-3867",
            "fax_number": "701-356-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2553 KIRSTEN LN S",
            "address_2": "SUITE 207",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044901",
            "telephone_number": "701-730-3867",
            "fax_number": "701-356-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKTER",
        "first_name": "MELANIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5210",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "CLARK",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lia Dobrinz, OTR/L,CDRS
• Kimberly Dobrovolny, DPT
• Andrea S Dockendorf, LCSW
• Christopher Douglas Dockter, D.C.
• Meghan Ann Dockter, CNM
• Tanya Dockter, PHARMD
• Collin Docter
• Dorian Rebecca Dodd, PHD
• Emily Dodd, OTR/L
• Kristen Marie Dodds

• 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 Feb 21, 2017; 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.