Individual provider Active NPI

Todd Dorval, D.C.

  • Chiropractor
  • Dickinson, ND
National Provider Identifier
1619948460
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
738 Issued in ND
Practice address
448 21 St W
Ste D2
Dickinson, ND 58601
Phone
(701) 483-6325
Fax
(701) 483-6327
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 738 ND Primary

Addresses

Primary practice location

448 21 St W
Ste D2
Dickinson, ND 58601

Mailing address

448 21 St W
Ste D2
Dickinson, ND 58601
Phone (701) 483-6325

Other identifiers 1

IdentifierTypeStateIssuer
13488MedicaidND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050429000237 ND Practitioner - Chiropractic 3375539984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health and Wellness ChiropracticGroup PAC ID 9032104534, 3 clinicians

Practice addresses (Care Compare)

448 21St St W
D2
Dickinson, ND 58601-2647
Phone (701) 483-6325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
738NDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Wellness Chiropractic Chiropractor CurrentSince Feb 15, 2005 Accepting new patients
Meyer Family Chiropractic PC Chiropractor PastSince Feb 15, 2005 Accepting new patients

Locations

448 21st St W
Ste D1
Dickinson, ND 58601
Phone (701) 483-1000

448 21st St W
Ste D2
Dickinson, ND 58601
Phone (701) 483-6325

Organizations & group practices 2

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1619948460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 21 ST W",
            "address_2": "STE D2",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "58601",
            "telephone_number": "701-483-6325",
            "fax_number": "701-483-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 21 ST W",
            "address_2": "STE D2",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "58601",
            "telephone_number": "701-483-6325",
            "fax_number": "701-483-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORVAL",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13488",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.