Organization Active NPI

Dallman Chiropractic PC

  • Clinic/Center
  • Grand Forks, ND
National Provider Identifier
1831425685
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
575 Issued in ND
Legal business name
DALLMAN CHIROPRACTIC PC
Practice address
1395 S Columbia Rd
Suite B
Grand Forks, ND 58201-4054
Phone
(701) 775-3215
NPI assigned
Oct 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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

Authorized official

Name
John DallmanNPI 1437142486
Title
Owner
Phone
(701) 775-3215

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
Clinic/Center 261Q00000X 575 ND Primary

Addresses

Primary practice location

1395 S Columbia Rd
Suite B
Grand Forks, ND 58201-4054

Mailing address

1395 S Columbia Rd
Suite B
Grand Forks, ND 58201-4054

Other identifiers 3

IdentifierTypeStateIssuer
DAL14199OtherNDBLUE CROSS BLUE SHIELD
5C116DAOtherMNBLUE CROSS BLUE SHIELD
11995MedicaidND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091216000120 ND Part B Supplier - Clinic/Group Practice 9739229147 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Forks, ND

National Provider Directory

National Provider Directory

Locations

1395 S Columbia Rd
Ste B
Grand Forks, ND 58201
Phone (701) 775-3215

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": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1831425685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 S COLUMBIA RD",
            "address_2": "SUITE B",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 S COLUMBIA RD",
            "address_2": "SUITE B",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014054",
            "telephone_number": "701-775-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLMAN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "DALLMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-775-3215"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "ND",
            "license": "575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "DAL14199",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5C116DA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11995",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.