Individual provider Active NPI

Cody Lance Haugen, D.C.

  • Chiropractor
  • Minot, ND
National Provider Identifier
1700487022
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1131 Issued in ND
Practice address
300 3Rd Ave SW Ste F
Minot, ND 58701-4346
Phone
(701) 833-0090
Fax
(701) 838-6892
NPI assigned
Nov 3, 2020
Last updated
Nov 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1131 ND Primary

Addresses

Primary practice location

300 3Rd Ave SW Ste F
Minot, ND 58701-4346

Mailing address

300 3Rd Ave SW Ste F
Minot, ND 58701-4346
Phone (701) 833-0090

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Chirofusion Direct
Other URL Chirofusion

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201113002270 ND Practitioner - Chiropractic 1456761824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Chiropractic PCGroup PAC ID 9638453939, 5 clinicians

Practice addresses (Care Compare)

1304 4TH Ave NW
Minot, ND 58703-3069
Phone (701) 838-0090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Chiropractic PC Chiropractor CurrentSince Nov 10, 2020 Accepting new patients

Locations

1304 4th Ave NW
Minot, ND 58703
Phone (701) 838-0090

300 3rd Ave SW
Ste F
Minot, ND 58701
Phone (701) 833-0090

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1700487022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 3RD AVE SW STE F",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014346",
            "telephone_number": "701-833-0090",
            "fax_number": "701-838-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 3RD AVE SW STE F",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014346",
            "telephone_number": "701-833-0090",
            "fax_number": "701-838-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGEN",
        "first_name": "CODY",
        "middle_name": "LANCE",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Chirofusion",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 3rd Ave SW Ste F",
            "city": "Minot",
            "state": "ND",
            "country_code": "US",
            "postal_code": "587014346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Chirofusion",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "300 3rd Ave SW Ste F",
            "city": "Minot",
            "state": "ND",
            "country_code": "US",
            "postal_code": "587014346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 3, 2020; 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.