Organization Active NPI

Nemecek Chiropractic, PC

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1780912774
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
048 Issued in ND
Legal business name
NEMECEK CHIROPRACTIC, PC
Practice address
4719 Shelburne St Ste 7
Bismarck, ND 58503-5677
Phone
(701) 223-5001
Fax
(701) 223-4709
NPI assigned
Dec 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Authorized official

Name
Cameron John Nemecek, DC
Title
Chiropractor
Phone
(701) 223-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 048 ND Primary

Addresses

Primary practice location

4719 Shelburne St Ste 7
Bismarck, ND 58503-5677

Mailing address

4719 Shelburne St Ste 7
Bismarck, ND 58503-5677
Phone (701) 223-5001

Other practice location 1

1431 Interstate Loop
Bismarck, ND 58503-0510
Phone (701) 223-5001

Other identifiers 5

IdentifierTypeStateIssuer
667423OtherNDUNITEDHEALTHCARE
4404705OtherNDMEDICA
T89012OtherUPIN
16241MedicaidND
18812OtherNDBCBS OF NORTH DAKOTA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1780912774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 SHELBURNE ST STE 7",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035677",
            "telephone_number": "701-223-5001",
            "fax_number": "701-223-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 SHELBURNE ST STE 7",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035677",
            "telephone_number": "701-223-5001",
            "fax_number": "701-223-4709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1431 Interstate Loop",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585030510",
            "country_code": "US",
            "telephone_number": "701-223-5001",
            "fax_number": "701-223-4709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEMECEK CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "NEMECEK",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "701-223-5001",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "667423",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "4404705",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T89012",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16241",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NORTH DAKOTA",
            "identifier": "18812",
            "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 Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.