Amy Lou Ellenbecker, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

854 Issued in ND

Practice address

1050 31St Ave SW Ste C
Minot, ND 58701-2005

Phone

(701) 839-2010

Fax

(701) 838-3497

NPI assigned

Jan 6, 2010

Last updated

Jun 12, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Amy Lou Petry Former name

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Lifetime Chiropractic, PC

  • Chiropractor
  • Minot, ND
  • NPI 1245560432
  Medicare reassignment NPD
• Kelly Chiropractic, PC

  • Chiropractor
  • Garrison, ND
  • NPI 1811080682
  NPD (past)

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1962732370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 31ST AVE SW STE C",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587012005",
            "telephone_number": "701-839-2010",
            "fax_number": "701-838-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 31ST AVE SW STE C",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587012005",
            "telephone_number": "701-839-2010",
            "fax_number": "701-838-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENBECKER",
        "first_name": "AMY",
        "middle_name": "LOU",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PETRY",
            "middle_name": "LOU",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas H Ehrhardt, D.D.S.
• Timothy John Eisenzimmer Jr., LPCC
• Ryan Richard Ekstrom
• Elise Felicio Behavior and Education Services PLLC (Fountain Behavioral Services)
• Ellenbecker Chiropractic, PC
• Brianna Marie Ellingson, FNP-C
• Mary T Ellingson, MS, SLP
• Christopher Ellis
• Rachel K Ellis, R.PH.
• Katrina Elston

• Chiropractor in Minot, ND
• Providers in Minot, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.