Organization Active NPI

Walton Chiropractic Clinic P.C.

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1811141948
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
480 Issued in ND
Legal business name
WALTON CHIROPRACTIC CLINIC P.C.
Practice address
120 Broadway N
Fargo, ND 58102-4926
Phone
(701) 237-0770
Fax
(701) 237-0770
NPI assigned
Nov 17, 2008
Last updated
Oct 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Authorized official

Name
Dr. Stephen Cumming Walton, D.C.NPI 1023183191
Title
President/Owner
Phone
(701) 237-0770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 480 ND Primary

Addresses

Primary practice location

120 Broadway N
Fargo, ND 58102-4926

Mailing address

120 Broadway N
Fargo, ND 58102-4926
Phone (701) 237-0770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081231000516 ND Part B Supplier - Clinic/Group Practice 6305908203 Receives reassigned benefits from 1 practitioner
Practice locations: Fargo, ND

National Provider Directory

National Provider Directory

Locations

120 Broadway N
Fargo, ND 58102
Phone (701) 237-0770

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1811141948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024926",
            "telephone_number": "701-237-0770",
            "fax_number": "701-237-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581024926",
            "telephone_number": "701-237-0770",
            "fax_number": "701-237-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTON CHIROPRACTIC CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CUMMING",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "701-237-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.