Individual provider Active NPI

Alicia Marie Vollmers, D.C.

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1760425037
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
772 Issued in ND
Practice address
1401 Skyline Blvd 240
Bismarck, ND 58503-1300
Phone
(701) 224-9500
Fax
(701) 224-9511
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 772 ND Primary

Addresses

Primary practice location

1401 Skyline Blvd 240
Bismarck, ND 58503-1300

Mailing address

1401 Skyline Blvd 240
Bismarck, ND 58503-1300
Phone (701) 224-9500

Other identifiers 2

IdentifierTypeStateIssuer
7604700MedicaidSD
13743MedicaidND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060505000895 ND Practitioner - Chiropractic 2860403813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 Skyline Blvd
Suite 240
Bismarck, ND 58503-1300
Phone (701) 224-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
772NDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wellness Chiropractic Clinic, P.C. Chiropractor CurrentSince Mar 1, 2006 Accepting new patients
Holkup Chiropractic Clinic PC Chiropractor PastSince Jul 1, 2003 Accepting new patients

Locations

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

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1760425037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SKYLINE BLVD 240",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031300",
            "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": "1401 SKYLINE BLVD 240",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031300",
            "telephone_number": "701-224-9500",
            "fax_number": "701-224-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLMERS",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7604700",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13743",
            "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 4, 2015; 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.