NPIMap

Organization Active NPI

Blue Apple Wellness, LLP

Doing business as Blue Apple Walk In Chiropractic of Fargo

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1912416249
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BLUE APPLE WELLNESS, LLP
Doing business as
Blue Apple Walk In Chiropractic of Fargo
Practice address
1650 45TH St S Ste 113
Fargo, ND 58103-3247
Phone
(701) 532-0397
NPI assigned
Sep 29, 2017
Last updated
Jun 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Wade Anthony Darr, DCNPI 1003972571
Title
Operator
Phone
(406) 600-5039

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

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 1

  • Blue Apple Walk In Chiropractic of Fargo Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Blue Apple Wellness LLP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1912416249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 45TH ST S STE 113",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033247",
            "telephone_number": "701-532-0397",
            "fax_number": "701-540-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 45TH ST S STE 113",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033247",
            "telephone_number": "701-532-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE APPLE WELLNESS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "DARR",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "406-600-5039",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Apple Walk In Chiropractic of Fargo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.