Organization Active NPI

Family Chiropractic & Massage PC

  • Chiropractor
  • Enderlin, ND
National Provider Identifier
1720265168
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
709 Issued in ND
Legal business name
FAMILY CHIROPRACTIC & MASSAGE PC
Practice address
207 Broadway St
Enderlin, ND 58027
Phone
(701) 437-3888
Fax
(701) 437-3889
NPI assigned
Jan 29, 2008
Last updated
Jan 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Dr. Margaret E Peterson, DCNPI 1770522351
Title
President
Phone
(701) 437-3888

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 709 ND Primary

Addresses

Primary practice location

207 Broadway St
Enderlin, ND 58027

Mailing address

207 Broadway St
Enderlin, ND 58027
Phone (701) 437-3888

Other identifiers 1

IdentifierTypeStateIssuer
12178MedicaidND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080226000264 ND Part B Supplier - Clinic/Group Practice 1153405451 Receives reassigned benefits from 1 practitioner
Practice locations: Enderlin, ND

National Provider Directory

National Provider Directory

Locations

207 Broadway St
Enderlin, ND 58027
Phone (701) 437-3888

Interoperability endpoints

  • Direct secure messaging: drmaggie@fcm0001.direct.chirotouch.md

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1720265168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 BROADWAY ST",
            "city": "ENDERLIN",
            "state": "ND",
            "postal_code": "58027",
            "telephone_number": "701-437-3888",
            "fax_number": "701-437-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BROADWAY ST",
            "city": "ENDERLIN",
            "state": "ND",
            "postal_code": "58027",
            "telephone_number": "701-437-3888",
            "fax_number": "701-437-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC & MASSAGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-437-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12178",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enderlin, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.