Williston Parks and Recreation Dept

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WILLISTON PARKS AND RECREATION DEPT

Practice address

822 18TH St E
Williston, ND 58801-4475

Phone

(701) 774-9773

NPI assigned

Dec 19, 2017

Last updated

Feb 9, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darin Lincoln Krueger

Title

Executive Director

Phone

(701) 774-9773

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1568978138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1153",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588021153",
            "telephone_number": "701-774-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 18TH ST E",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014475",
            "telephone_number": "701-774-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLISTON PARKS AND RECREATION DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "DARIN",
        "authorized_official_middle_name": "LINCOLN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "701-774-9773"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Love Williams
• Pamela Ernette Williams, PEER SUPPORT
• Williston Basin Eyecare Associates, P.C.
• Williston Center for Pediatric Therapy
• Williston Council for the Aging, Inc
• Williston Radiology Consultants PC (Fairlight Medical Center)
• Williston Radiology Consultants PC (Fairlight Medical Center)
• Wilmac Special Education Unit
• George M Wilson, MD
• Amy L Wilt, RN, BSN, CDE

• Chiropractor in Williston, ND
• Providers in Williston, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.