NPIMap

Organization Active NPI

Central Avenue Chiropractic PC

  • Chiropractor
  • Valley City, ND
National Provider Identifier
1891877239
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CENTRAL AVENUE CHIROPRACTIC PC
Practice address
323 Central Avenue North
Suite 202
Valley City, ND 58072
Phone
(701) 845-0709
Fax
(701) 845-5988
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Nathan T Sayler, DCNPI 1942382312
Title
President
Phone
(701) 845-0709

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

323 Central Avenue North
Suite 202
Valley City, ND 58072

Mailing address

323 Central Ave N
Suite 202
Valley City, ND 58072-2915
Phone (701) 845-0709

Other identifiers 2

IdentifierTypeStateIssuer
13050MedicaidND
01049001OtherNDBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041001001063 ND Part B Supplier - Clinic/Group Practice 3870562119 Receives reassigned benefits from 3 practitioners
Practice locations: Valley City, ND

National Provider Directory

National Provider Directory

Locations

323 Central Ave N
Ste 202
Valley City, ND 58072
Phone (701) 490-1070

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1891877239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 CENTRAL AVE N",
            "address_2": "SUITE 202",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580722915",
            "telephone_number": "701-845-0709",
            "fax_number": "701-845-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 CENTRAL AVENUE NORTH",
            "address_2": "SUITE 202",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "58072",
            "telephone_number": "701-845-0709",
            "fax_number": "701-845-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL AVENUE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "SAYLER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-845-0709",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13050",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01049001",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley City, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.