Organization Active NPI

Life Quest Chiropractic Center Bemidji PC

  • Chiropractor
  • Bemidji, MN
National Provider Identifier
1942490750
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4462 Issued in MN
Legal business name
LIFE QUEST CHIROPRACTIC CENTER BEMIDJI PC
Practice address
519 Anne St NW Ste C
Bemidji, MN 56601-4279
Phone
(218) 444-5700
Fax
(218) 444-5704
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
David C Wold, DCNPI 1184712846
Title
Owner/Clinic Director
Phone
(218) 444-5700

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 4462 MN Primary

Addresses

Primary practice location

519 Anne St NW Ste C
Bemidji, MN 56601-4279

Mailing address

PO Box 1854
519 Anne St NW Suite C
Bemidji, MN 56619-1854
Phone (218) 444-5700

Other identifiers 1

IdentifierTypeStateIssuer
413004900MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000799 MN Part B Supplier - Clinic/Group Practice 2163336850 Receives reassigned benefits from 1 practitioner
Practice locations: Bemidji, MN

National Provider Directory

National Provider Directory

Locations

519 Anne St NW
Ste A
Bemidji, MN 56601
Phone (218) 444-5700

519 Anne St NW
Ste C
Bemidji, MN 56601
Phone (218) 444-5700

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": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1942490750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1854",
            "address_2": "519 ANNE ST NW SUITE C",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566191854",
            "telephone_number": "218-444-5700",
            "fax_number": "218-444-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 ANNE ST NW STE C",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014279",
            "telephone_number": "218-444-5700",
            "fax_number": "218-444-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE QUEST CHIROPRACTIC CENTER BEMIDJI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "WOLD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "218-444-5700",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413004900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.