Active NPI
Brody Onchuck, DC
- Chiropractor
- Wahpeton, ND
National Provider Identifier
1619745775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1195
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1195 | ND | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Chiropractic Clinic P C | Chiropractor | Current | 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.