Jorgenson Family Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

613 Issued in ND

Legal business name

JORGENSON FAMILY CHIROPRACTIC, P.C.

Practice address

1201 13TH Ave E
West Fargo, ND 58078-3378

Phone

(701) 282-6110

Fax

(701) 282-6113

NPI assigned

Jan 8, 2007

Last updated

Mar 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brett Jorgenson, D.C.NPI 1396893038

Title

Chiropractor

Phone

(701) 282-6110

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 3

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.

• Brett Jorgenson, D.C.

  • Chiropractor
  • West Fargo, ND
  • NPI 1396893038
  Medicare reassignment NPD Authorized official
• Robert L Hasse, DC

  • Chiropractor
  • West Fargo, ND
  • NPI 1639187636
  NPD (past)
• Tyler John Ulbrich, M.D.

  • Internal Medicine Physician
  • Saint Paul, MN
  • NPI 1801139795
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1982752630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 13TH AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783378",
            "telephone_number": "701-282-6110",
            "fax_number": "701-282-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 13TH AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783378",
            "telephone_number": "701-282-6110",
            "fax_number": "701-282-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGENSON FAMILY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "JORGENSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "701-282-6110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP #",
            "identifier": "05761001",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD MN GROUP #",
            "identifier": "382S1JO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12046",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Johnson
• Sheridan Johnson
• Tiffany Johnson, D.C.
• Kassandra Jones, PT
• Joshua D Jordan, PT, DPT, CMTPT, CSCS
• Brett Jorgenson, D.C.
• Sarah Joyce
• Alexandra G Juve
• Savana Kalenberg
• Jacob Kalina

• Chiropractor in West Fargo, ND
• Providers in West 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 3, 2008; 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.