Active NPI
Grand Forks Chiropractic
- Chiropractor
- Grand Forks, ND
National Provider Identifier
1881015246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 642
- Legal business name
- GRAND FORKS CHIROPRACTIC
- Practice address
- 3001 S Columbia Rd
Suite C
Grand Forks, ND 58201-6064 - Phone
- (701) 795-8818
- Fax
- (701) 795-4888
- NPI assigned
- Jan 2, 2014
- Last updated
- Jan 2, 2014
- 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
- Dr. Jody A Walker, DC
- Title
- Owner/Chiropractor
- Phone
- (701) 795-8818
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 642 | ND | Primary |
Addresses
Primary practice location
3001 S Columbia Rd
Suite C
Grand Forks, ND 58201-6064
Mailing address
3001 S Columbia Rd
Suite C
Grand Forks, ND 58201-6064
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10713 | Medicaid | ND |
National Provider Directory
National Provider DirectoryLocations
3001 S Columbia Rd
Ste C
Grand Forks, ND 58201
Phone (701) 795-4888
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Grand Forks, ND
- NPI 1407947567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388620800000",
"number": "1881015246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 S COLUMBIA RD",
"address_2": "SUITE C",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582016064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 S COLUMBIA RD",
"address_2": "SUITE C",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582016064",
"telephone_number": "701-795-8818",
"fax_number": "701-795-4888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAND FORKS CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-02",
"last_updated": "2014-01-02",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "JODY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "701-795-8818",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10713",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
- Hayle Gracy
- Madeline C Graff, MOTR/L
- Korie Graham, COTA
- Grand Forks Anesthesia Associates
- Grand Forks Anesthesia Services PC
- Grand Forks Clinic Pharmacy
- Grand Forks Counseling and Therapy PLLC
- Grand Forks County Social Services
- Grand Forks Foot and Ankle Clinic, PLLC
- Grand Forks Growth and Support Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.