Active NPI
Judisch Chiropractic, LTD
- Chiropractor
- Fargo, ND
National Provider Identifier
1598802886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 609
- Legal business name
- JUDISCH CHIROPRACTIC, LTD
- Practice address
- 1411 32ND St S
Fargo, ND 58103-6304 - Phone
- (701) 235-0313
- Fax
- (701) 241-4175
- NPI assigned
- Jan 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rick Judisch, D.C.
- Title
- President
- Phone
- (701) 235-0313
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 609 | ND | Primary |
Addresses
Primary practice location
1411 32ND St S
Fargo, ND 58103-6304
Mailing address
1411 32ND St S
Fargo, ND 58103-6304
Phone (701) 235-0313
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5C943JU | Other | MN | BS OF MN |
| 13903 | Other | ND | BS ND |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Fargo, ND
- NPI 1669518999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315958400000",
"number": "1598802886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 32ND ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581036304",
"telephone_number": "701-235-0313",
"fax_number": "701-241-4175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 32ND ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581036304",
"telephone_number": "701-235-0313",
"fax_number": "701-241-4175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUDISCH CHIROPRACTIC, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2011-09-14",
"status": "A",
"authorized_official_last_name": "JUDISCH",
"authorized_official_first_name": "RICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "701-235-0313",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "ND",
"license": "609",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS OF MN",
"identifier": "5C943JU",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS ND",
"identifier": "13903",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.