Organization Active NPI

Midwest Chiropractic PA

  • Chiropractor
  • Grand Forks, ND
National Provider Identifier
1952582983
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3041 Issued in MN
Legal business name
MIDWEST CHIROPRACTIC PA
Practice address
2600 Demers Ave Ste 110
Grand Forks, ND 58201-4100
Phone
(701) 772-3505
Fax
(701) 772-3061
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Authorized official

Name
Cathy Galstad
Title
Co-Owner
Phone
(701) 772-3505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3041 MN Primary

Addresses

Primary practice location

2600 Demers Ave Ste 110
Grand Forks, ND 58201-4100

Mailing address

2600 Demers Ave Ste 110
Grand Forks, ND 58201-4100
Phone (701) 772-3505

Other identifiers 2

IdentifierTypeStateIssuer
2C980GAOtherMNBCBS MN
11459GAOtherNDBCBS ND

National Provider Directory

National Provider Directory

Locations

203 14th St NE
East Grand Forks, MN 56721
Phone (218) 693-2014

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": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1952582983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 DEMERS AVE STE 110",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014100",
            "telephone_number": "701-772-3505",
            "fax_number": "701-772-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 DEMERS AVE STE 110",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014100",
            "telephone_number": "701-772-3505",
            "fax_number": "701-772-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "GALSTAD",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "701-772-3505"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "2C980GA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ND",
            "identifier": "11459GA",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.