Active NPI
Walker Chiropractic, P.C.
- Chiropractor
- Fargo, ND
National Provider Identifier
1538167150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 753
- Legal business name
- WALKER CHIROPRACTIC, P.C.
- Practice address
- 250 25TH St S
Suite B
Fargo, ND 58103-6817 - Phone
- (701) 293-8882
- Fax
- (701) 293-8854
- NPI assigned
- Jul 8, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Charles T Walker, DC
- Title
- Owner
- Phone
- (701) 293-8882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 753 | ND | Primary |
Addresses
Primary practice location
250 25TH St S
Suite B
Fargo, ND 58103-6817
Mailing address
250 25TH St S
Suite B
Fargo, ND 58103-6817
Phone (701) 293-8882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13213 | Medicaid | ND |
National Provider Directory
National Provider DirectoryLocations
250 25th St S
Ste B
Fargo, ND 58103
Phone (701) 230-1825
250 25th St S
Fargo, ND 58103
Phone (701) 273-8882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1538167150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 25TH ST S",
"address_2": "SUITE B",
"city": "FARGO",
"state": "ND",
"postal_code": "581036817",
"telephone_number": "701-293-8882",
"fax_number": "701-293-8854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 25TH ST S",
"address_2": "SUITE B",
"city": "FARGO",
"state": "ND",
"postal_code": "581036817",
"telephone_number": "701-293-8882",
"fax_number": "701-293-8854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALKER CHIROPRACTIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "701-293-8882",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "ND",
"license": "753",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13213",
"state": "ND"
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.