Active NPI
Life Quest Chiropractic Center Bemidji PC
- Chiropractor
- Bemidji, MN
National Provider Identifier
1942490750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4462
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David C Wold, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 413004900 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Bemidji, MN
- NPI 1184712846
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.