Individual provider Active NPI

Andrea Hornstein, D.C.

  • Chiropractor
  • Wahpeton, ND
National Provider Identifier
1780758847
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
748 Issued in ND
Practice address
505 Dakota Ave
Wahpeton, ND 58075-4414
Phone
(701) 672-1300
Fax
(701) 672-1301
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 748 ND Primary
Chiropractor 111N00000X 4548 MN

Addresses

Primary practice location

505 Dakota Ave
Wahpeton, ND 58075-4414

Mailing address

505 Dakota Ave
Wahpeton, ND 58075-4414
Phone (701) 672-1300

Other identifiers 2

IdentifierTypeStateIssuer
13458MedicaidND
025345OtherNDBS ND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050420000447 ND Practitioner - Chiropractic 4789622911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

715 Dakota Ave
Suite 2
Wahpeton, ND 58075-4342
Phone (701) 672-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
748NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hornstein Family Chiropractic, LTD Chiropractor CurrentSince Mar 14, 2004 Accepting new patients
Robb Q Dohman LTD Chiropractor PastSince Aug 3, 2015 Accepting new patients

Locations

715 Dakota Ave
Ste 2
Wahpeton, ND 58075
Phone (701) 672-1300

505 Dakota Ave
Wahpeton, ND 58075
Phone (701) 672-1300

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780758847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 DAKOTA AVE",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754414",
            "telephone_number": "701-672-1300",
            "fax_number": "701-672-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 DAKOTA AVE",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754414",
            "telephone_number": "701-672-1300",
            "fax_number": "701-672-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNSTEIN",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "748",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4548",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13458",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS ND",
            "identifier": "025345",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahpeton, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.