Derosier Chiropractic Clinic, P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

517 Issued in MN

Legal business name

DEROSIER CHIROPRACTIC CLINIC, P.C.

Practice address

4005 Overlook Dr
Bismarck, ND 58503-8216

Phone

(701) 866-4084

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew R Derosier, D.C.NPI 1649271610

Title

President

Phone

(218) 284-6040

Specialties & licenses 1

Addresses

Practitioners 1

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

• Matthew Richard Derosier, D.C.

  • Chiropractor
  • Bismarck, ND
  • NPI 1649271610
  NPD (past) Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196467200000",
    "number": "1922148774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 OVERLOOK DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585038216",
            "telephone_number": "701-866-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 OVERLOOK DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585038216",
            "telephone_number": "701-866-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEROSIER CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-12-01",
        "status": "A",
        "authorized_official_last_name": "DEROSIER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-284-6040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MN",
            "license": "517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Forte-Pathroff M.D., P.C.
• Briana Denning, LBSW
• Dennis D Sailer DC
• Jordan Jeanette Deraney, MD
• Derik Hoerner, DDS, PC (Bismarck Advanced Dental and Implants)
• Matthew Richard Derosier, D.C.
• Nayan K Desai, MD
• Jade A Desmidt, DDS
• Eusebio Chiong Desuyo, M.D.
• Mark Detwiller, M.D.

• Primary Care Clinic/Center in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Primary Care Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2007; 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.