Organization Active NPI

Laduke Family Chiropractic, PC

  • Chiropractor
  • Jamestown, ND
National Provider Identifier
1942532742
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
557 Issued in ND
Legal business name
LADUKE FAMILY CHIROPRACTIC, PC
Practice address
920 10TH St SE
Suite C
Jamestown, ND 58401-5819
Phone
(701) 252-9852
Fax
(701) 952-9853
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Dr. Debra D Laduke, DC
Title
President/Owner
Phone
(701) 252-9852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 557 ND Primary

Addresses

Primary practice location

920 10TH St SE
Suite C
Jamestown, ND 58401-5819

Mailing address

920 10TH St SE
Suite C
Jamestown, ND 58401-5819
Phone (701) 252-9852

Other identifiers 2

IdentifierTypeStateIssuer
13686MedicaidND
1033162276OtherNDNPI-INDIVIDUAL

National Provider Directory

National Provider Directory

Locations

920 10th St SE
Ste C
Jamestown, ND 58401
Phone (701) 252-9852

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1942532742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 10TH ST SE",
            "address_2": "SUITE C",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584015819",
            "telephone_number": "701-252-9852",
            "fax_number": "701-952-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 10TH ST SE",
            "address_2": "SUITE C",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584015819",
            "telephone_number": "701-252-9852",
            "fax_number": "701-952-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADUKE FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "LADUKE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "701-252-9852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13686",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-INDIVIDUAL",
            "identifier": "1033162276",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.