Individual provider Active NPI

Sheila Swenson, D.C.

  • Chiropractor
  • Grand Forks, ND
National Provider Identifier
1992926935
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
838 Issued in ND
Practice address
1726 S Washington St
Suite 79
Grand Forks, ND 58201-6370
Phone
(701) 738-0990
Fax
(701) 738-0991
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4889 MN
Chiropractor 111N00000X 838 ND Primary

Addresses

Primary practice location

1726 S Washington St
Suite 79
Grand Forks, ND 58201-6370

Mailing address

1726 S Washington St
Suite 79
Grand Forks, ND 58201-6370
Phone (701) 738-0990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004001307 ND Practitioner - Chiropractic 2668664095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Renewed Hope Chiropractic LLCGroup PAC ID 8426240847, 2 clinicians

Practice addresses (Care Compare)

1726 S Washington St
Grand Forks, ND 58201-6370
Phone (701) 738-0990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4889MNMDChiropractor
838NDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Hope Chiropractic, LLC Chiropractor CurrentSince May 19, 2010 Accepting new patients

Locations

1726 S Washington St
Ste 79
Grand Forks, ND 58201
Phone (701) 738-0990

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1992926935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 S WASHINGTON ST",
            "address_2": "SUITE 79",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016370",
            "telephone_number": "701-738-0990",
            "fax_number": "701-738-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 S WASHINGTON ST",
            "address_2": "SUITE 79",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016370",
            "telephone_number": "701-738-0990",
            "fax_number": "701-738-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "SHEILA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4889",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.