Tim Jorgensen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

531 Issued in ND

Practice address

1002 Front Street
Casselton, ND 58012

Phone

(701) 347-4300

Fax

(701) 347-4300

NPI assigned

Nov 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578638334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 FRONT STREET",
            "city": "CASSELTON",
            "state": "ND",
            "postal_code": "58012",
            "telephone_number": "701-347-4300",
            "fax_number": "701-347-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 FRONT STREET",
            "city": "CASSELTON",
            "state": "ND",
            "postal_code": "58012",
            "telephone_number": "701-347-4300",
            "fax_number": "701-347-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "TIM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS PROVIDER NUMBER",
            "identifier": "021753",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Paul Hagen, DDS
• Monica Yvonne Haugen
• Health Fix Chiropractic, PLLC
• Michelle Lynn Hoppe
• Innovis Health LLC (Essentia Health Casselton Clinic)
• Megan Kremer, PT, DPT
• Kathleen Marie Nelson, R.PH
• Allison K Norman, MOTR/L
• Cami Lynn Ouellette Wack, DC
• Gerald G Parker, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.