Shawn Timothy Halvorson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

897 Issued in ND

Practice address

5357 27TH St S
Apt 103
Fargo, ND 58104-7155

Phone

(701) 739-0662

NPI assigned

Feb 20, 2012

Sex

Male

Sole proprietor

No

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

Northwestern College of Chiropractic, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Dynamics Chiropractic & Rehab LLC

  • Chiropractor
  • Fargo, ND
  • NPI 1497017297
  Medicare reassignment NPD Authorized official
• Mason Orth PC

  dba HealthSource of North Fargo

  • Chiropractor
  • Fargo, ND
  • NPI 1164847604
  NPD (past)
• Mason Orth, PC

  dba HealthSource of Fargo-Moorhead

  • Chiropractor
  • Fargo, ND
  • NPI 1639367121
  NPD (past)

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1679846745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 AMBER VALLEY PKWY S",
            "address_2": "STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048621",
            "telephone_number": "701-364-9355",
            "fax_number": "701-364-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5357 27TH ST S",
            "address_2": "APT 103",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047155",
            "telephone_number": "701-739-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVORSON",
        "first_name": "SHAWN",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-20",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Halvorson, PHARMD
• Brett Lee Halvorson, RN/BSN
• Joseph Halvorson
• Karlee Halvorson
• Milda Halvorson, RN, MSN
• Susan Louise Halvorson, MSW
• Sasha Ham, DPT
• Rachel Haman
• Megan Hamann
• Suzanne Hamel

• Chiropractor in Fargo, ND
• Providers in Fargo, 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 23, 2017; 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.