Individual provider Active NPI

Jason Dammen, D.C.

  • Chiropractor
  • Minot, ND
National Provider Identifier
1568775773
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
867 Issued in ND
Practice address
300 3Rd St SW Ste B
Minot, ND 58701-3705
Phone
(701) 852-1665
Fax
(701) 852-1664
NPI assigned
Jul 16, 2010
Last updated
Apr 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 867 ND Primary

Addresses

Primary practice location

300 3Rd St SW Ste B
Minot, ND 58701-3705

Mailing address

300 3Rd St SW Ste B
Minot, ND 58701-3705
Phone (701) 852-1665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915000501 ND Practitioner - Chiropractic 0244355196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 3Rd St SW
Suite B
Minot, ND 58701-3705
Phone (701) 852-1665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
867NDMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Arts Clinic, P.C. Chiropractor CurrentSince Oct 27, 2017 Accepting new patients
Carter Chiropractic P C Chiropractor PastSince May 6, 2002 Accepting new patients
Leingang Chiropractic & Wellness, PC Chiropractor Past Accepting new patients

Locations

1001 20th Ave SW
Minot, ND 58701
Phone (701) 852-0158

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1568775773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 3RD ST SW STE B",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013705",
            "telephone_number": "701-852-1665",
            "fax_number": "701-852-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 3RD ST SW STE B",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013705",
            "telephone_number": "701-852-1665",
            "fax_number": "701-852-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMMEN",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.