Organization Active NPI

Total Life Chiropractic, P.C.

  • Primary Care Clinic/Center
  • Napoleon, ND
National Provider Identifier
1669656930
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
804 Issued in ND
Legal business name
TOTAL LIFE CHIROPRACTIC, P.C.
Practice address
123 W Lake Ave
Napoleon, ND 58561
Phone
(701) 754-2345
NPI assigned
Dec 21, 2007
Last updated
Dec 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Dr. Charles A. Weigel, D.C.NPI 1841474111
Title
Ceo/President
Phone
(701) 754-2345

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
Primary Care Clinic/Center 261QP2300X 804 ND Primary

Addresses

Primary practice location

123 W Lake Ave
Napoleon, ND 58561

Mailing address

123 W Lake Ave
P.O. Box 28
Napoleon, ND 58561
Phone (701) 754-2345

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080222000231 ND Part B Supplier - Clinic/Group Practice 8921182452 Receives reassigned benefits from 1 practitioner
Practice locations: Napoleon, ND

National Provider Directory

National Provider Directory

Locations

123 W Lake Ave
Napoleon, ND 58561
Phone (701) 754-2345

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1669656930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W LAKE AVE",
            "address_2": "P.O. BOX 28",
            "city": "NAPOLEON",
            "state": "ND",
            "postal_code": "58561",
            "telephone_number": "701-754-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W LAKE AVE",
            "city": "NAPOLEON",
            "state": "ND",
            "postal_code": "58561",
            "telephone_number": "701-754-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL LIFE CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "WEIGEL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "701-754-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "ND",
            "license": "804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napoleon, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.