NPIMap

Organization Active NPI

Clarity Brain Center LLC

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1508329053
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CLARITY BRAIN CENTER LLC
Practice address
3029 Brandt Dr S Ste a
Fargo, ND 58104-9140
Phone
(701) 566-5306
Fax
(218) 736-4113
NPI assigned
Apr 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Authorized official

Name
Ala Lysyk Smith, DCNPI 1588651038
Title
President
Phone
(701) 566-5306

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3029 Brandt Dr S Ste a
Fargo, ND 58104-9140

Mailing address

104 W Lincoln Ave
Fergus Falls, MN 56537-2123
Phone (218) 736-4113

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1508329053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W LINCOLN AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372123",
            "telephone_number": "218-736-4113",
            "fax_number": "218-998-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 BRANDT DR S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581049140",
            "telephone_number": "701-566-5306",
            "fax_number": "218-736-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARITY BRAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "LYSYK SMITH",
        "authorized_official_first_name": "ALA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-566-5306",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.