Organization Active NPI

Total Wellness Chiropractic Clinic, P.C.

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1750508123
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
772 Issued in ND
Legal business name
TOTAL WELLNESS CHIROPRACTIC CLINIC, P.C.
Practice address
1025 N 3Rd St
Bismarck, ND 58501-3555
Phone
(701) 224-9500
Fax
(701) 224-9511
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alicia Marie Vollmers, D.C.NPI 1760425037
Title
President
Phone
(701) 224-9500

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 772 ND Primary

Addresses

Primary practice location

1025 N 3Rd St
Bismarck, ND 58501-3555

Mailing address

1025 N 3Rd St
Bismarck, ND 58501-3555
Phone (701) 224-9500

Other identifiers 1

IdentifierTypeStateIssuer
13745MedicaidND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060505000464 ND Part B Supplier - Clinic/Group Practice 7315958352 Receives reassigned benefits from 1 practitioner
Practice locations: Bismarck, ND

National Provider Directory

National Provider Directory

Locations

1401 Skyline Blvd
Ste 240
Bismarck, ND 58503
Phone (701) 224-9500

1500 Interchange Ave
Ste 110
Bismarck, ND 58501
Phone (701) 224-9500

1025 N 3rd St
Bismarck, ND 58501
Phone (701) 224-9500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750508123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 N 3RD ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013555",
            "telephone_number": "701-224-9500",
            "fax_number": "701-224-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N 3RD ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013555",
            "telephone_number": "701-224-9500",
            "fax_number": "701-224-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL WELLNESS CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VOLLMERS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-224-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13745",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.