Individual provider Active NPI

Timothy Nagel, D.C.

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1578575353
Registry record updated Aug 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
513 Issued in ND
Practice address
433 E Bismarck Expressway
Bismarck, ND 58504-5801
Phone
(701) 258-0300
Fax
(701) 258-0301
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 513 ND Primary

Addresses

Primary practice location

433 E Bismarck Expressway
Bismarck, ND 58504-5801

Mailing address

425 S 7TH St
Bismarck, ND 58504-5801
Phone (701) 258-8388

Other identifiers 2

IdentifierTypeStateIssuer
12049OtherNDBCBS OF ND
16602MedicaidND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817000746 ND Practitioner - Chiropractic 5698809374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Hometown Wellness PCGroup PAC ID 1052540192, 2 clinicians

Practice addresses (Care Compare)

535 S 7TH St
Bismarck, ND 58504-5859
Phone (701) 222-6382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
513NDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Wellness, PC Chiropractor CurrentSince Mar 10, 2021 Accepting new patients
Horizon Chiropractic & Wellness PC Chiropractor Past Accepting new patients

Locations

523 N 4th St
Ste 101
Bismarck, ND 58501

535 S 7th St
Bismarck, ND 58504
Phone (701) 255-4241

Organizations & group practices 2

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1578575353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S 7TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045801",
            "telephone_number": "701-258-8388",
            "fax_number": "701-258-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 E BISMARCK EXPRESSWAY",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045801",
            "telephone_number": "701-258-0300",
            "fax_number": "701-258-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGEL",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ND",
            "identifier": "12049",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16602",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.