Individual provider Active NPI

Whitney Marie Sundheim Robers, DC

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1538676853
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1107 Issued in ND
Practice address
1555 43Rd St S Ste 107
Fargo, ND 58103-3314
Phone
(701) 720-7224
Fax
(701) 356-6701
NPI assigned
Jan 8, 2018
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1107 ND Primary

Addresses

Primary practice location

1555 43Rd St S Ste 107
Fargo, ND 58103-3314

Mailing address

1555 43Rd St S
Ste 107
Fargo, ND 58103-3314
Phone (206) 723-2820

Other names 1

  • Whitney Marie Sundheim Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190726002580 ND Practitioner - Chiropractic 8527327485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fetzer Family Chiropractic PLLCGroup PAC ID 0648277541, 2 clinicians

Practice addresses (Care Compare)

1555 43Rd St S
Suite 107
Fargo, ND 58103-3314
Phone (701) 356-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fetzer Family Chiropractic PLLC Chiropractor CurrentSince Jul 1, 2019 Accepting new patients

Locations

1555 43rd St S
Ste 107
Fargo, ND 58103
Phone (701) 356-6700

Organizations & group practices 1

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": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1538676853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 43RD ST S",
            "address_2": "STE 107",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033314",
            "telephone_number": "206-723-2820",
            "fax_number": "206-722-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 43RD ST S STE 107",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033314",
            "telephone_number": "701-720-7224",
            "fax_number": "701-356-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERS",
        "first_name": "WHITNEY",
        "middle_name": "MARIE SUNDHEIM",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "SUNDHEIM",
            "middle_name": "MARIE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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.
  • 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.