Active NPI
Jill Marie Place, LMT
- Massage Therapist
- Bismarck, ND
National Provider Identifier
1891149472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 493
- Practice address
- 425 South 7TH St
Southridge Chiropractic
Bismarck, ND 58501 - Phone
- (701) 258-8388
- NPI assigned
- Apr 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 493 | ND | Primary |
Addresses
Primary practice location
425 South 7TH St
Southridge Chiropractic
Bismarck, ND 58501
Mailing address
425 South 7TH St
Southridge Chiropractic
Fargo, ND 58501
Phone (701) 258-8388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461110400000",
"number": "1891149472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 SOUTH 7TH ST",
"address_2": "SOUTHRIDGE CHIROPRACTIC",
"city": "FARGO",
"state": "ND",
"postal_code": "58501",
"telephone_number": "701-258-8388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 SOUTH 7TH ST",
"address_2": "SOUTHRIDGE CHIROPRACTIC",
"city": "BISMARCK",
"state": "ND",
"postal_code": "58501",
"telephone_number": "701-258-8388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLACE",
"first_name": "JILL",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-20",
"last_updated": "2016-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "ND",
"license": "493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.