Individual provider Active NPI

Joseph Kerber, D.C.

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1669736245
Registry record updated Jun 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
972 Issued in ND
Practice address
3120 25TH St S
Suite V
Fargo, ND 58103-6110
Phone
(701) 893-4200
NPI assigned
Jun 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X012189-1 NY
Chiropractor 111N00000X 972 ND Primary

Addresses

Primary practice location

3120 25TH St S
Suite V
Fargo, ND 58103-6110

Mailing address

3120 25TH St S
Suite V
Fargo, ND 58103-6110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220105000585 MN Practitioner - Chiropractic 9931325321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regenerative Medical ManagementGroup PAC ID 2769874528, 3 clinicians

Practice addresses (Care Compare)

7818 Excelsior Rd
Baxter, MN 56425-8427
Phone (218) 450-4045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X012189-1NYMDChiropractor
972NDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Medical Management CurrentSince Dec 16, 2025 Accepting new patients

Locations

7818 Excelsior Rd
Baxter, MN 56425
Phone (218) 450-4045

Organizations & group practices 1

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": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403395200000",
    "number": "1669736245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 25TH ST S",
            "address_2": "SUITE V",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 25TH ST S",
            "address_2": "SUITE V",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036110",
            "telephone_number": "701-893-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERBER",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2014-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012189-1",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "972",
            "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 Jun 22, 2014; 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.