Organization Active NPI

Grand Forks Chiropractic

  • Chiropractor
  • Grand Forks, ND
National Provider Identifier
1881015246
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
642 Issued in ND
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Authorized official

Name
Dr. Jody A Walker, DCNPI 1407947567
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10713MedicaidND

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.