Organization Active NPI

Cornerstone Spinal Care, Inc

  • Chiropractor
  • Minot, ND
National Provider Identifier
1689298515
Registry record updated Jun 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CORNERSTONE SPINAL CARE, INC
Practice address
1350 20TH Ave SW
Minot, ND 58701-6452
Phone
(701) 852-2800
Fax
(701) 837-0175
NPI assigned
Jun 6, 2020
Last updated
Jun 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2020

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

Authorized official

Name
Dr. William Luke Fielhaber, DCNPI 1982794350
Title
President
Phone
(701) 852-2800

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 NU Primary

Addresses

Primary practice location

1350 20TH Ave SW
Minot, ND 58701-6452

Mailing address

1350 20TH Ave SW
Minot, ND 58701-6452
Phone (701) 852-2800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210217001303 ND Part B Supplier - Clinic/Group Practice 1759793284 Receives reassigned benefits from 5 practitioners
Practice locations: Minot, ND

National Provider Directory

National Provider Directory

Locations

1515 24th Ave SW
Ste 1
Minot, ND 58701
Phone (701) 852-2800

Practitioners & affiliated clinicians

Practitioners 5

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": "1591401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591401600000",
    "number": "1689298515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 20TH AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016452",
            "telephone_number": "701-852-2800",
            "fax_number": "701-837-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 20TH AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016452",
            "telephone_number": "701-852-2800",
            "fax_number": "701-837-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE SPINAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-06",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A",
        "authorized_official_last_name": "FIELHABER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-852-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2020; 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.