Jadian Starla Mack, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

949 Issued in ND

Practice address

1418 S Broadway
Suite C
Minot, ND 58701-5933

Phone

(701) 209-0230

NPI assigned

Jun 29, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

True North Chiropractic PCGroup PAC ID 3274835657, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• True North Chiropractic, PC

  • Chiropractor
  • Bottineau, ND
  • NPI 1265804215
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1649610056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 S BROADWAY",
            "address_2": "SUITE C",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 S BROADWAY",
            "address_2": "SUITE C",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015933",
            "telephone_number": "701-209-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "JADIAN",
        "middle_name": "STARLA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-29",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asher Grey Lutz
• Tandi M Lutz, LSW
• Luv 4 You at Home
• Colin S.J. Maccoll, MD
• Heather Mack, WHNP-BC
• Kira Ann Mackay, PMHNP-BC
• Mackenzie J Jones PLLC
• Mackenzie J. Jones D.C.
• Paul R Macleod, MD
• Leticia Madrigal

• Chiropractor in Minot, ND
• Providers in Minot, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.