Dakota Clinic of Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

980 Issued in ND

Legal business name

DAKOTA CLINIC OF CHIROPRACTIC, PLLC

Practice address

5670 38TH Avenue S Suite B
Fargo, ND 58104

Phone

(701) 566-5455

NPI assigned

Mar 17, 2017

Last updated

Mar 17, 2017By 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

Dr. Matthew Christenson, D.C.NPI 1316259088

Title

Owner/Operator

Phone

(325) 721-0311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 2

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.

• Matthew Christenson, D.C.

  • Chiropractor
  • Fargo, ND
  • NPI 1316259088
  Medicare reassignment Care Compare group NPD Authorized official
• Joshua Nathan Jaeger, D.C.

  • Chiropractor
  • Fargo, ND
  • NPI 1669702536
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1720529126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 38TH AVENUE S SUITE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 38TH AVENUE S SUITE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104",
            "telephone_number": "701-566-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA CLINIC OF CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "325-721-0311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salah Dean Dajani, MD
• Dakota Adult & Pediatric Psychiatry
• Dakota Boys & Girls Ranch Association (Dakota Boys Ranch Fargo RTC)
• Dakota Clinic LTD
• Dakota Clinic LTD at Innovis
• Dakota Clinic Pharmacy LLC (Dakota Clinic Pharmacy on Su Drive)
• Dakota Clinic Pharmacy LLC (Dakota Clinic Pharmacy on 32 Avenue)
• Dakota Clinic, LTD
• Dakota Clinic, LTD. (Dakota Clinic, Ltd. at Innovis)
• Dakota Clinic, LTD. (Dakota Clinic, Ltd. - West Acres)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.