Active NPI
Schmidt Chiropractic Clinic, Inc.
- Chiropractor
- Jamestown, ND
National Provider Identifier
1780622191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 380
- Legal business name
- SCHMIDT CHIROPRACTIC CLINIC, INC.
- Practice address
- 102 2ND Ave SW
Jamestown, ND 58401-4104 - Phone
- (701) 251-1550
- Fax
- (701) 952-1504
- NPI assigned
- Jun 4, 2006
- Last updated
- Mar 20, 2011
- 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. Dwight B. Schmidt, D.C.
- Title
- Owner
- Phone
- (701) 251-1550
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 | 380 | ND | Primary |
Addresses
Primary practice location
102 2ND Ave SW
Jamestown, ND 58401-4104
Mailing address
102 2ND Ave SW
Jamestown, ND 58401-4104
Phone (701) 251-1550
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011826 | Medicaid | ND | |
| 15500 | Medicaid | ND | |
| 26782SC | Other | MN | BLUE SHIELD |
| 629001 | Other | ND | BLUE SHIELD |
Other names 1
- Dwight B. Schmidt
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
- Jamestown, ND
- NPI 1801849971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300579200000",
"number": "1780622191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 2ND AVE SW",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584014104",
"telephone_number": "701-251-1550",
"fax_number": "701-952-1504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 2ND AVE SW",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584014104",
"telephone_number": "701-251-1550",
"fax_number": "701-952-1504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHMIDT CHIROPRACTIC CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2011-03-20",
"status": "A",
"authorized_official_last_name": "SCHMIDT",
"authorized_official_first_name": "DWIGHT",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "701-251-1550",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "380",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011826",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15500",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "26782SC",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "629001",
"state": "ND"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dwight B. Schmidt",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Jamestown, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.