Organization Active NPI

Fischer Family Chiropractic

  • Chiropractor
  • Williston, ND
National Provider Identifier
1861702581
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FISCHER FAMILY CHIROPRACTIC
Practice address
226 14TH St W
Williston, ND 58801-4131
Phone
(701) 774-8277
Fax
(701) 774-8016
NPI assigned
Oct 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Derek Fischer, D.C.NPI 1245416312
Title
President
Phone
(952) 681-2863

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

226 14TH St W
Williston, ND 58801-4131

Mailing address

226 14TH St W
Williston, ND 58801-4131
Phone (701) 774-8277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130819000253 ND Part B Supplier - Clinic/Group Practice 0345482519 Receives reassigned benefits from 3 practitioners
Practice locations: Ray, ND; Williston, ND

National Provider Directory

National Provider Directory

Locations

226 14th St W
Williston, ND 58801
Phone (701) 568-6824

Practitioners & affiliated clinicians

Practitioners 3

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": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1861702581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 14TH ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014131",
            "telephone_number": "701-774-8277",
            "fax_number": "701-774-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 14TH ST W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588014131",
            "telephone_number": "701-774-8277",
            "fax_number": "701-774-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISCHER FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-681-2863",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.