Individual provider Active NPI

Erik J Thorsgard, DC

  • Chiropractor
  • Northwood, ND
National Provider Identifier
1780877787
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
752 Issued in ND
Practice address
12 N Park St
Northwood, ND 58267-0442
Phone
(701) 587-6300
Fax
(701) 587-6333
NPI assigned
Aug 22, 2007
Last updated
Aug 22, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 752 ND Primary

Addresses

Primary practice location

12 N Park St
Northwood, ND 58267-0442

Mailing address

PO Box 442
12 N Park St
Northwood, ND 58267-0442
Phone (701) 587-6300

Other identifiers 1

IdentifierTypeStateIssuer
13215MedicaidND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041026000056 ND Practitioner - Chiropractic 9032170873 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)

103 Washington Ave
Northwood, ND 58267-4300
Phone (701) 587-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
752NDMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Northwood Chiropractic P C Chiropractor CurrentSince Jul 28, 2004 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1780877787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 442",
            "address_2": "12 N PARK ST",
            "city": "NORTHWOOD",
            "state": "ND",
            "postal_code": "582670442",
            "telephone_number": "701-587-6300",
            "fax_number": "701-587-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N PARK ST",
            "city": "NORTHWOOD",
            "state": "ND",
            "postal_code": "582670442",
            "telephone_number": "701-587-6300",
            "fax_number": "701-587-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSGARD",
        "first_name": "ERIK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13215",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northwood, ND

Sources for this page

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