Active Life Chiropractic P.C.
Organization Active NPI Chiropractor · Bismarck, ND
NPI 1609059377 · NPPES record last updated Jan 23, 2008
Key facts
- NPI
- 1609059377
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- ACTIVE LIFE CHIROPRACTIC P.C.
- Practice address
- 535 S 7TH St
Bismarck, ND 58504-5859 - Phone
- (701) 255-4241
- Fax
- (701) 255-4299
- NPI assigned
- Dec 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Sara Jo Weigel, D.C.
- Title
- President
- Phone
- (701) 255-4241
Practitioners 4
-
Douglas Michaeal Ness, D.C.
-
Sara Jo Weigel, D.C.
-
Steven J Lipp, DC
-
Charles A. Weigel, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080117000784 | ND | Part B Supplier - Clinic/Group Practice | 2365523156 |
Receives reassigned benefits from 3 practitioners Practice locations: Bismarck, ND |
National Provider Directory
Locations
215 W Main Ave
Bismarck, ND 58501
Phone (701) 226-5455
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
535 S 7TH St
Bismarck, ND 58504-5859
Mailing address
535 S 7TH St
Bismarck, ND 58504-5859
Phone (701) 255-4241
Other providers in Bismarck, ND
- Phyllis Abrahamson
- Accelerate Health Chiropractic
- Access Safe Care LLC
- Ashley Acker
- Duncan B Ackerman
- John Patrick Adapon
- Adapt Addiction & Behavioral Health, Inc.
- Adapt, Inc.
- Benta Adhiambo
- Adjust Life, LTD
All providers in Bismarck, ND · Chiropractor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.