Active NPI
Fluid Motion Chiropractic, P.C.
- Chiropractor
- Fargo, ND
National Provider Identifier
1932405602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 871
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryLocations
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.
-
- Rehabilitation Chiropractor
- Fargo, ND
- NPI 1639444300
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.