Western Skies Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

814 Issued in ND

Legal business name

WESTERN SKIES CHIROPRACTIC, P.C.

Practice address

1428 W Villard St
Dickinson, ND 58601-4648

Phone

(701) 483-8855

Fax

(701) 483-6917

NPI assigned

Apr 23, 2008

Last updated

Apr 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christina Margaret Johnson, D.C.

Title

President

Phone

(701) 483-8855

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

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.

• Christina Margaret Kostelecky, D.C.

  • Chiropractor
  • Dickinson, ND
  • NPI 1245405018
  Medicare reassignment NPD

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1700051588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 W VILLARD ST",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014648",
            "telephone_number": "701-483-8855",
            "fax_number": "701-483-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 W VILLARD ST",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014648",
            "telephone_number": "701-483-8855",
            "fax_number": "701-483-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN SKIES CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-483-8855",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.