Organization Active NPI

Capital Chiropractic PC

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1689704553
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
662 Issued in ND
Legal business name
CAPITAL CHIROPRACTIC PC
Practice address
2911 N 14TH St
Suite 102
Bismarck, ND 58503-0659
Phone
(701) 221-2636
Fax
(701) 221-2637
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tonya Lynn Dockter, D.C.
Title
Chiropractor
Phone
(701) 221-2636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 662 ND Primary

Addresses

Primary practice location

2911 N 14TH St
Suite 102
Bismarck, ND 58503-0659

Mailing address

2911 N 14TH St
Suite 102
Bismarck, ND 58503-0659
Phone (701) 221-2636

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031215000678 ND Part B Supplier - Clinic/Group Practice 6507763935 Receives reassigned benefits from 2 practitioners
Practice locations: Bismarck, ND

National Provider Directory

National Provider Directory

Locations

2911 N 14th St
Ste 102
Bismarck, ND 58503
Phone (701) 221-2636

Practitioners & affiliated clinicians

Practitioners 3

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689704553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 N 14TH ST",
            "address_2": "SUITE 102",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030659",
            "telephone_number": "701-221-2636",
            "fax_number": "701-221-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 N 14TH ST",
            "address_2": "SUITE 102",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030659",
            "telephone_number": "701-221-2636",
            "fax_number": "701-221-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOCKTER",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "701-221-2636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.