Organization Active NPI

Health and Wellness Chiropractic

  • Chiropractor
  • Dickinson, ND
National Provider Identifier
1629195342
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
738 AND 742 Issued in ND
Legal business name
HEALTH AND WELLNESS CHIROPRACTIC
Practice address
448 21St St W Ste D2
Dickinson, ND 58601-2647
Phone
(701) 483-6325
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Dr. Todd A Dorval, D.C.NPI 1619948460
Title
President
Phone
(701) 483-6325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 738 AND 742 ND Primary

Addresses

Primary practice location

448 21St St W Ste D2
Dickinson, ND 58601-2647

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
13483MedicaidND
06241-001OtherNDBLUE CROSS BLUE SHIELD ND

Other names 1

  • Health & Wellness Chiropractic Center LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040415000434 ND Part B Supplier - Clinic/Group Practice 9032104534 Receives reassigned benefits from 3 practitioners
Practice locations: Dickinson, ND

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1629195342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 21ST ST W STE D2",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012647",
            "telephone_number": "701-483-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 21ST ST W STE D2",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012647",
            "telephone_number": "701-483-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AND WELLNESS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "DORVAL",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-483-6325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "738 AND 742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13483",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ND",
            "identifier": "06241-001",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health & Wellness Chiropractic Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.