Blue Apple Wellness, LLP
Organization Active NPI Chiropractor · Fargo, ND
NPI 1912416249 · NPPES record last updated Jun 14, 2024
Key facts
- NPI
- 1912416249
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- BLUE APPLE WELLNESS, LLP
- Practice address
- 1650 45TH St S Ste 113
Fargo, ND 58103-3247 - Phone
- (701) 532-0397
- NPI assigned
- Sep 29, 2017
- Organization subpart
- No
Authorized official
- Name
- Wade Anthony Darr, DC
- Title
- Operator
- Phone
- (406) 600-5039
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 2
Practitioners 8
-
Drew Larsen, DC
-
William C Woodcock, D.C.
-
Thomas Hamlin Nelson, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180315002316 | ND | Part B Supplier - Clinic/Group Practice | 1456613132 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment Practice locations: Bismarck, ND; Fargo, ND |
National Provider Directory
- Tax ID family
- Blue Apple Wellness LLP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
1650 45TH St S Ste 113
Fargo, ND 58103-3247
Mailing address
1650 45TH St S Ste 113
Fargo, ND 58103-3247
Phone (701) 532-0397
Other names
- Blue Apple Walk In Chiropractic of Fargo
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.