Individual provider Active NPI

Brody Onchuck, DC

  • Chiropractor
  • Wahpeton, ND
National Provider Identifier
1619745775
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1195 Issued in ND
Practice address
103 9TH St N Ste 1
Wahpeton, ND 58075-4343
Phone
(701) 642-1913
NPI assigned
Dec 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1195 ND Primary

Addresses

Primary practice location

103 9TH St N Ste 1
Wahpeton, ND 58075-4343

Mailing address

103 9TH St N Ste 1
Wahpeton, ND 58075-4343

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122004576 ND Practitioner - Chiropractic 0244682573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook Chiropractic Clinic P CGroup PAC ID 6204895998, 2 clinicians

Practice addresses (Care Compare)

103 9TH St N
Suite 1
Wahpeton, ND 58075-4343
Phone (701) 642-1913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1195NDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Chiropractic Clinic P C Chiropractor CurrentSince Jan 4, 2024 Accepting new patients

Locations

103 9th St N
Ste 1
Wahpeton, ND 58075
Phone (701) 642-1913

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.

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1619745775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 9TH ST N STE 1",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 9TH ST N STE 1",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754343",
            "telephone_number": "701-642-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONCHUCK",
        "first_name": "BRODY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahpeton, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.