Organization Active NPI

Discover Health Chiropractic PC

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1891828935
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
787 Issued in ND
Legal business name
DISCOVER HEALTH CHIROPRACTIC PC
Practice address
1136 W Divide Ave
Bismarck, ND 58501-1202
Phone
(701) 223-8237
Fax
(701) 223-8257
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Dr. Travis William Livesay, D.C.NPI 1205971058
Title
Owner Manager
Phone
(701) 426-5803

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 787 ND Primary

Addresses

Primary practice location

1136 W Divide Ave
Bismarck, ND 58501-1202

Mailing address

1136 W Divide Ave
Bismarck, ND 58501-1202
Phone (701) 223-8237

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070419000316 ND Part B Supplier - Clinic/Group Practice 9830294891 Receives reassigned benefits from 2 practitioners
Practice locations: Bismarck, ND

National Provider Directory

National Provider Directory

Locations

1136 W Divide Ave
Bismarck, ND 58501
Phone (701) 223-8237

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1891828935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 W DIVIDE AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011202",
            "telephone_number": "701-223-8237",
            "fax_number": "701-223-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 W DIVIDE AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011202",
            "telephone_number": "701-223-8237",
            "fax_number": "701-223-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER HEALTH CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "LIVESAY",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "701-426-5803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "787",
            "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 Nov 2, 2007; 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.