Organization Active NPI

Fluid Motion Chiropractic, P.C.

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1932405602
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
871 Issued in ND
Legal business name
FLUID MOTION CHIROPRACTIC, P.C.
Practice address
4554 38TH Ave S
Suite E
Fargo, ND 58104-8515
Phone
(701) 277-3081
NPI assigned
Jan 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Dr. Jesse L Kovash, D.C.
Title
President
Phone
(701) 260-1911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 871 ND Primary

Addresses

Primary practice location

4554 38TH Ave S
Suite E
Fargo, ND 58104-8515

Mailing address

4554 38TH Ave S
Suite E
Fargo, ND 58104-8515
Phone (701) 277-3081

National Provider Directory

National Provider Directory

Locations

4554 38th Ave S
Ste E
Fargo, ND 58104
Phone (701) 260-1911

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1932405602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 38TH AVE S",
            "address_2": "SUITE E",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048515",
            "telephone_number": "701-277-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 38TH AVE S",
            "address_2": "SUITE E",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048515",
            "telephone_number": "701-277-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLUID MOTION CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "KOVASH",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-260-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 28, 2011; 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.