Active NPI
Pure Chiropractic & Rehab PC
- Chiropractor
- Fargo, ND
National Provider Identifier
1770727703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 719
- Legal business name
- PURE CHIROPRACTIC & REHAB PC
- Practice address
- 300 45TH St S Ste 315
Fargo, ND 58103-6511 - Phone
- (701) 893-7873
- Fax
- (701) 893-7876
- NPI assigned
- Apr 21, 2009
- Last updated
- Apr 21, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brad Feldner, D.C.
- Title
- Chiropractor
- Phone
- (701) 893-7873
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 719 | ND | Primary |
Addresses
Primary practice location
300 45TH St S Ste 315
Fargo, ND 58103-6511
Mailing address
3227 42ND Ave SW
Fargo, ND 58104-6633
Phone (701) 461-9030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60602000 | Medicaid | MN | |
| 18577 | Medicaid | ND |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Chiropractor
- Fargo, ND
- NPI 1861693038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240272000000",
"number": "1770727703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3227 42ND AVE SW",
"city": "FARGO",
"state": "ND",
"postal_code": "581046633",
"telephone_number": "701-461-9030",
"fax_number": "701-239-7088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 45TH ST S STE 315",
"city": "FARGO",
"state": "ND",
"postal_code": "581036511",
"telephone_number": "701-893-7873",
"fax_number": "701-893-7876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURE CHIROPRACTIC & REHAB PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-21",
"last_updated": "2009-04-21",
"status": "A",
"authorized_official_last_name": "FELDNER",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "701-893-7873",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60602000",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18577",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.