Richard W Qual, DOCTOR OF CHIROPRACT

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

524 Issued in ND

Practice address

805 10TH St SE
Jamestown, ND 58401

Phone

(701) 252-4700

Fax

(701) 252-2755

NPI assigned

Dec 14, 2006

Last updated

Aug 14, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

• Qual Chiropractic

  • Chiropractor
  • Jamestown, ND
  • NPI 1104095751
  Authorized official Same address or phone

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1902968431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 10TH ST SE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "58401",
            "telephone_number": "701-252-4700",
            "fax_number": "701-252-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 10TH ST SE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "58401",
            "telephone_number": "701-252-4700",
            "fax_number": "701-252-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAL",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "DOCTOR OF CHIROPRACT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC  BS",
            "identifier": "11142",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16870",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Professional Eyecare Centers, PLLC
• Progress Enterprises Inc.
• Kennedy Joe Pugh, PT, DPT
• Robert J Purcell, DC
• Qual Chiropractic
• Terri Mae Qual, BC-HIS
• Myra J Quanrud, MD
• Landon Rachel, PHARMD
• Radiology Services, P.a.
• Shamso Osman Rage

• Chiropractor in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.