Active NPI
Nemecek Chiropractic, PC
- Chiropractor
- Bismarck, ND
National Provider Identifier
1780912774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 048
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 667423 | Other | ND | UNITEDHEALTHCARE |
| 4404705 | Other | ND | MEDICA |
| T89012 | Other | UPIN | |
| 16241 | Medicaid | ND | |
| 18812 | Other | ND | BCBS OF NORTH DAKOTA |
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.
-
- Chiropractor
- Bismarck, ND
- NPI 1952487498
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.