Organization Active NPI

The Institute for Chiropractic Health & Wellness Inc

  • Chiropractor
  • Fargo, ND
National Provider Identifier
1992833909
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1072 Issued in ND
Legal business name
THE INSTITUTE FOR CHIROPRACTIC HEALTH & WELLNESS INC
Practice address
4674 40TH Ave S Ste B
Fargo, ND 58104-4501
Phone
(701) 364-4105
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Joseph Grausgruber, D.C.NPI 1083788012
Title
Doctor,Owner
Phone
(717) 919-8416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1072 ND Primary

Addresses

Primary practice location

4674 40TH Ave S Ste B
Fargo, ND 58104-4501

Mailing address

4674 40TH Ave S Ste B
Fargo, ND 58104-4501
Phone (701) 364-4105

Other names 1

  • Be Active Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180220002780 ND Part B Supplier - Clinic/Group Practice 8022065630 Receives reassigned benefits from 1 practitioner
Practice locations: Fargo, ND

National Provider Directory

National Provider Directory

Locations

4674 40th Ave S
Ste B
Fargo, ND 58104
Phone (701) 364-4105

3300 Hartzdale Dr
Ste 114
Camp Hill, PA 17011
Phone (717) 737-3443

935 E Chocolate Ave
Hershey, PA 17033
Phone (717) 531-3411

Practitioners & affiliated clinicians

Practitioners 5

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1992833909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4674 40TH AVE S STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044501",
            "telephone_number": "701-364-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4674 40TH AVE S STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044501",
            "telephone_number": "701-364-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INSTITUTE FOR CHIROPRACTIC HEALTH & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "GRAUSGRUBER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DOCTOR,OWNER",
        "authorized_official_telephone_number": "717-919-8416",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Be Active Chiropractic",
            "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 Sep 27, 2023; 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.