Active NPI
Christopher Douglas Dockter, D.C.
- Chiropractor
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 841
- Practice address
- 2553 Kirsten LN S
Suite 207
Fargo, ND 58104-4901 - Phone
- (701) 730-3867
- Fax
- (701) 356-2992
- NPI assigned
- Aug 24, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 841 | ND | Primary |
| Chiropractor | 111N00000X | 5211 | MN |
Addresses
Primary practice location
2553 Kirsten LN S
Suite 207
Fargo, ND 58104-4901
Mailing address
2553 Kirsten LN S
Ste 207
Fargo, ND 58104-4901
Phone (701) 730-3867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3252 51St St S
Suite a
Fargo, ND 58104-7897
Phone (701) 730-3867
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 841 | ND | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Venture Chiropractic PA Corp | Chiropractor | Current | Accepting new patients |
| Walton Chiropractic Clinic P.C. | Chiropractor | Past | Accepting new patients |
Locations
1132 28th Ave S
Ste 102
Moorhead, MN 56560
Phone (218) 227-5376
3252 51st St S
Ste A
Fargo, ND 58104
Phone (701) 730-3867
2553 Kirsten Ln S
Ste 207
Fargo, ND 58104
Phone (701) 232-8200
Organizations & group practices 2
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.
-
- Chiropractor
- Fargo, ND
- NPI 1811141948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1518190651",
"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": "CHRISTOPHER",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-24",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "841",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5211",
"primary": false
}
],
"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 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.