Cory John Badinger, D.C.

Individual provider Active NPI Chiropractor · Fargo, ND

NPI 1609929033 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609929033
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
529 (ND)
Practice address
1617 32ND Ave S
Suite G
Fargo, ND 58103-5985
Phone
(701) 239-4749
Fax
(701) 356-5198
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1617 G 32ND Ave S
Fargo, ND 58103-5985
Phone (701) 239-4749

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ND

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100928000665 ND Practitioner - Chiropractic
Practitioner - Oral Surgery
6103942123 Practice locations: Fargo, ND

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Badinger Chiropractic Chiropractor Past
since Jan 20, 1992
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 529 ND Yes

Addresses

Primary practice location

1617 32ND Ave S
Suite G
Fargo, ND 58103-5985

Mailing address

1617 32ND Ave S
Suite G
Fargo, ND 58103-5985
Phone (701) 239-4749

Other identifiers

IdentifierTypeStateIssuer
11271OtherNDBCBS
17302MedicaidND
3K763BAOtherMNBCBS

Other providers in Fargo, ND

All providers in Fargo, ND · Chiropractor in North Dakota

Sources for this page

Verify at the official NPI Registry.