Ellenbecker Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

440 Issued in ND

Legal business name

ELLENBECKER CHIROPRACTIC, PC

Practice address

1050 31St Ave SW
Suite B
Minot, ND 58701-2005

Phone

(701) 838-1987

Fax

(701) 838-3497

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul Douglas Ellenbecker, DCNPI 1679508089

Title

President/Owner

Phone

(701) 838-1987

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 1

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

• Paul Ellenbecker, DC

  • Chiropractor
  • Cando, ND
  • NPI 1679508089
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1831372416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 31ST AVE SW",
            "address_2": "SUITE B",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587012005",
            "telephone_number": "701-838-1987",
            "fax_number": "701-838-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 31ST AVE SW",
            "address_2": "SUITE B",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587012005",
            "telephone_number": "701-838-1987",
            "fax_number": "701-838-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLENBECKER CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "ELLENBECKER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "701-838-1987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "05586001",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy N Ehlke
• Thomas H Ehrhardt, D.D.S.
• Timothy John Eisenzimmer Jr., LPCC
• Ryan Richard Ekstrom
• Elise Felicio Behavior and Education Services PLLC (Fountain Behavioral Services)
• Amy Lou Ellenbecker, D.C.
• Brianna Marie Ellingson, FNP-C
• Mary T Ellingson, MS, SLP
• Christopher Ellis
• Rachel K Ellis, R.PH.

• Chiropractor in Minot, ND
• Providers in Minot, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.