Ellendale Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

434 Issued in ND

Legal business name

ELLENDALE CHIROPRACTIC CLINIC

Practice address

305 1St Ave S
Ellendale, ND 58436-7108

Phone

(701) 349-4727

Fax

(701) 349-3033

NPI assigned

Feb 3, 2014

Organization subpart

No

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

Authorized official

Name

Craig L Kendall, D.C.NPI 1003928797

Title

Owner

Phone

(701) 349-4727

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig L Kendall, DC

  • Chiropractor
  • Ellendale, ND
  • NPI 1003928797
  NPD (past) Authorized official

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1912320540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "ELLENDALE",
            "state": "ND",
            "postal_code": "584360159",
            "telephone_number": "701-349-4727",
            "fax_number": "701-349-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 1ST AVE S",
            "city": "ELLENDALE",
            "state": "ND",
            "postal_code": "584367108",
            "telephone_number": "701-349-4727",
            "fax_number": "701-349-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLENDALE CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-349-4727",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015054",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7602400",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Dickey (Dickey County Health District)
• Dakota Dental Care
• Dickey County Social Service
• Dickey Rural Services
• Deborah J Elhard, MS LPCC
• Ellendale Pharmacy Inc
• Evergreen Place
• Abby Gibbs
• Nicole Groenewald, LPN
• Brittanie Rose Hamar, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.