Organization Active NPI

Lacee N Carr

Doing business as Full Circle Chiropractic

  • Chiropractor
  • Williston, ND
National Provider Identifier
1679845960
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
898 Issued in ND
Legal business name
LACEE N CARR
Doing business as
Full Circle Chiropractic
Practice address
34 24TH St W
Williston, ND 58801-6271
Phone
(701) 774-5036
Fax
(701) 774-5037
NPI assigned
Feb 1, 2012
Last updated
Aug 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Dr. Lacee N Carr, D.C.NPI 1841591799
Title
Chiropractor
Phone
(701) 774-5036

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
Chiropractor 111N00000X 898 ND Primary

Addresses

Primary practice location

34 24TH St W
Williston, ND 58801-6271

Mailing address

34 24TH St W
Williston, ND 58801-6271
Phone (701) 774-5036

Other identifiers 2

IdentifierTypeStateIssuer
1679845960OtherNDBLUE CROSS BLUE SHIELD
1679845960OtherNDMEDICARE

Other names 1

  • Full Circle Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

34 24th St W
Williston, ND 58801
Phone (701) 774-5036

54 25th St E
Ste D
Williston, ND 58801
Phone (701) 774-5036

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": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1679845960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 24TH ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588016271",
            "telephone_number": "701-774-5036",
            "fax_number": "701-774-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 24TH ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588016271",
            "telephone_number": "701-774-5036",
            "fax_number": "701-774-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACEE N CARR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "LACEE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "701-774-5036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1679845960",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1679845960",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Circle Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.