Waale Chiropractic Clinic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

474 Issued in ND

Legal business name

WAALE CHIROPRACTIC CLINIC PLLC

Practice address

417 Main Ave
Suite 301
Fargo, ND 58103-1956

Phone

(701) 365-0401

Fax

(701) 365-0402

NPI assigned

Mar 31, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David Harold Waale, D.C.NPI 1033141353

Title

Owner

Phone

(701) 365-0401

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David H Waale, DC

  • Chiropractor
  • Fargo, ND
  • NPI 1033141353
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1962791863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 MAIN AVE",
            "address_2": "SUITE 301",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031956",
            "telephone_number": "701-365-0401",
            "fax_number": "701-365-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 MAIN AVE",
            "address_2": "SUITE 301",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031956",
            "telephone_number": "701-365-0401",
            "fax_number": "701-365-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAALE CHIROPRACTIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "WAALE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-365-0401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Wilbert Voth, PA-C
• Alexandra Vruno, MLS(ASCP)CM
• Parth Ashok Vyas, M.S
• W W Inc (Medicine Shoppe)
• Gail L Waagen, CNS
• David H Waale, DC
• Jeanne Waalen, PHYSICIAN ASSISTANT
• Christina Marie Waddle, FNP
• Andrea Renae Wadeson, LAPC
• Michelle A Wadeson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.