Individual provider Active NPI

Christopher Douglas Dockter, D.C.

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1518190651
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
841 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
Aug 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20091013000464 ND Practitioner - Chiropractic 9739225335 Reassigns benefits to 1 organization

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
Venture Chiropractic PA CorpGroup PAC ID 8820129141, 3 clinicians

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

LicenseStateTypeSpecialty
841NDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Venture Chiropractic PA Corp Chiropractor CurrentSince Apr 15, 2010 Accepting new patients
Walton Chiropractic Clinic P.C. Chiropractor PastSince Sep 1, 1999 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.

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.

Verify at the official NPI Registry.