Organization Active NPI

McIntyre Chiropractic PLLC

  • Chiropractor
  • Grand Forks, ND
National Provider Identifier
1720402167
Registry record updated Feb 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
963 Issued in ND
Legal business name
MCINTYRE CHIROPRACTIC PLLC
Practice address
2600 Demers Ave Ste 110
Grand Forks, ND 58201-4100
Phone
(218) 773-2945
Fax
(218) 773-3015
NPI assigned
Feb 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2014

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

Authorized official

Name
Jordan J McIntyre, DC
Title
Chiropractor
Phone
(218) 230-4711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 963 ND Primary

Addresses

Primary practice location

2600 Demers Ave Ste 110
Grand Forks, ND 58201-4100

Mailing address

2910 Walnut St
Grand Forks, ND 58201-7482
Phone (218) 230-4711

National Provider Directory

National Provider Directory

Locations

2600 Demers Ave
Ste 110
Grand Forks, ND 58201
Phone (218) 773-9245

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391904000000",
    "number": "1720402167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 WALNUT ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582017482",
            "telephone_number": "218-230-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 DEMERS AVE STE 110",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014100",
            "telephone_number": "218-773-2945",
            "fax_number": "218-773-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCINTYRE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-09",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "218-230-4711",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.