Organization Active NPI

Chiropractic Rehabilitation Center, PLLC

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1528294022
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
833 Issued in ND
Legal business name
CHIROPRACTIC REHABILITATION CENTER, PLLC
Practice address
2280 45TH St S
Suite B
Fargo, ND 58104-8781
Phone
(701) 364-3760
Fax
(701) 364-3761
NPI assigned
Jun 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Authorized official

Name
Dr. Erik Haroldson, D.C.NPI 1972737062
Title
President
Phone
(701) 364-3760

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X 833 ND Primary

Addresses

Primary practice location

2280 45TH St S
Suite B
Fargo, ND 58104-8781

Mailing address

2280 45TH St S
Suite B
Fargo, ND 58104-8781
Phone (701) 364-3760

National Provider Directory

National Provider Directory

Locations

2280 45th St S
Ste B
Fargo, ND 58104
Phone (701) 269-0180

Practitioners & affiliated clinicians

Practitioners 1

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": "1244592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244592000000",
    "number": "1528294022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 45TH ST S",
            "address_2": "SUITE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048781",
            "telephone_number": "701-364-3760",
            "fax_number": "701-364-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 45TH ST S",
            "address_2": "SUITE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048781",
            "telephone_number": "701-364-3760",
            "fax_number": "701-364-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC REHABILITATION CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A",
        "authorized_official_last_name": "HAROLDSON",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-364-3760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "833",
            "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 Jun 10, 2009; 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.