Individual provider Active NPI

Carol J Winkler, DC

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1952487498
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
469 Issued in ND
Practice address
4719 Shelburne St Ste 7
Bismarck, ND 58503-5677
Phone
(701) 223-5001
Fax
(701) 223-4709
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2583 MN
Chiropractor 111N00000X 2884 CO
Chiropractor 111N00000X 469 ND Primary

Addresses

Primary practice location

4719 Shelburne St Ste 7
Bismarck, ND 58503-5677

Mailing address

4719 Shelburne St Ste 7
Bismarck, ND 58503-5677
Phone (701) 223-5001

Other practice location 1

1431 Interstate Loop
Bismarck, ND 58503-0510
Phone (701) 223-5001

Other identifiers 2

IdentifierTypeStateIssuer
18811OtherNDBCBS OF ND
11189MedicaidND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000637 ND Practitioner - Chiropractic 3173588795 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2884COMDChiropractor
2583MNMDChiropractor
473NDMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nemecek and Winkler Chiropractic, PC Chiropractor CurrentSince Sep 1, 2000 Accepting new patients
Nemecek Chiropractic, PC Chiropractor PastSince Sep 1, 2000 Accepting new patients

Locations

1431 Interstate Loop
Bismarck, ND 58503
Phone (701) 223-5001

4719 Shelburne St
Ste 7
Bismarck, ND 58503
Phone (701) 223-5001

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1952487498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 SHELBURNE ST STE 7",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035677",
            "telephone_number": "701-223-5001",
            "fax_number": "701-223-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 SHELBURNE ST STE 7",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035677",
            "telephone_number": "701-223-5001",
            "fax_number": "701-223-4709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1431 Interstate Loop",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585030510",
            "country_code": "US",
            "telephone_number": "701-223-5001",
            "fax_number": "701-223-4709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINKLER",
        "first_name": "CAROL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2583",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2884",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ND",
            "identifier": "18811",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11189",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.