Organization Active NPI

Blue Apple Wellness, LLP

Doing business as Blue Apple Walk In

  • Health Service Clinic/Center
  • Fargo, ND
National Provider Identifier
1972090181
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
643 Issued in ND
Legal business name
BLUE APPLE WELLNESS, LLP
Doing business as
Blue Apple Walk In
Practice address
1650 45TH St S Ste 113
Fargo, ND 58103-3247
Phone
(701) 532-0397
NPI assigned
Apr 13, 2018
Last updated
Jun 14, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BLUE APPLE WELLNESS, LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Wade Anthony Darr, DC
Title
Operator
Phone
(406) 600-5039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 643 ND Primary

Addresses

Primary practice location

1650 45TH St S Ste 113
Fargo, ND 58103-3247

Mailing address

1650 45TH St S Ste 113
Fargo, ND 58103-3247
Phone (701) 532-0397

Other names 1

  • Blue Apple Walk In Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blue Apple Wellness LLP3 organizations share this tax ID, including this one
Part of
Blue Apple Wellness LLP

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1972090181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 45TH ST S STE 113",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033247",
            "telephone_number": "701-532-0397",
            "fax_number": "701-540-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 45TH ST S STE 113",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581033247",
            "telephone_number": "701-532-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE APPLE WELLNESS, LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUE APPLE WELLNESS, LLP",
        "enumeration_date": "2018-04-13",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "DARR",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "406-600-5039",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "ND",
            "license": "643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Apple Walk In",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Apple Walk In",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.