Individual provider Active NPI

Andrew Millage, DC

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1659367563
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010413 Issued in IL
Practice address
3411 Fiechtner Dr S Ste a
Fargo, ND 58103-2361
Phone
(701) 566-0783
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010413 IL Primary

Addresses

Primary practice location

3411 Fiechtner Dr S Ste a
Fargo, ND 58103-2361

Mailing address

3411 Fiechtner Dr S Ste a
Fargo, ND 58103-2361
Phone (701) 566-0783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038010413ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Chiropractic Specialists of Waterford, P.C. Chiropractor PastSince Feb 3, 2006 Accepting new patients
Spinal Rehabilitation and Wellness Clinic, LLC Chiropractor Past Accepting new patients
Neck to Back Rockford LLC Past Accepting new patients
Recovered Chiropractic Past Accepting new patients

Organizations & group practices 4

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1659367563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 FIECHTNER DR S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032361",
            "telephone_number": "701-566-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 FIECHTNER DR S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032361",
            "telephone_number": "701-566-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAGE",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.