Individual provider Active NPI

Sandee Joy Funk, D.C.

  • Chiropractor
  • Hebron, ND
National Provider Identifier
1902059926
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
826 Issued in ND
Practice address
725 Main St
Hebron, ND 58638-7056
Phone
(701) 878-4300
NPI assigned
Nov 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 826 ND Primary

Addresses

Primary practice location

725 Main St
Hebron, ND 58638-7056

Mailing address

PO Box 31
Hebron, ND 58638-0031
Phone (701) 878-4300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090211000851 ND Practitioner - Chiropractic 1153486816 Reassigns benefits to 1 organization
Practice locations: Hebron, ND

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Hometown Wellness PCGroup PAC ID 1052540192, 2 clinicians

Practice addresses (Care Compare)

725 Main St
Hebron, ND 58638-7056
Phone (701) 878-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
826NDMDChiropractor
3520SCMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Isabella LLC Chiropractor PastSince Sep 30, 2022 Accepting new patients
Roshau Chiropractic and Sports Injury Center, PC Chiropractor PastSince Jan 1, 2010 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1902059926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31",
            "city": "HEBRON",
            "state": "ND",
            "postal_code": "586380031",
            "telephone_number": "701-878-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 MAIN ST",
            "city": "HEBRON",
            "state": "ND",
            "postal_code": "586387056",
            "telephone_number": "701-878-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "SANDEE",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.