Jorgensen Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

476 Issued in ND

Legal business name

JORGENSEN CHIROPRACTIC, PC

Doing business as

Red River Wellness

Practice address

250 25TH St S Ste B
Fargo, ND 58103-6817

Phone

(701) 235-2700

Fax

(701) 478-4220

NPI assigned

Mar 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael W Jorgensen, DCNPI 1881802742

Title

Owner

Phone

(701) 235-2700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Red River Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Jorgensen, D.C.

  • Chiropractor
  • Fargo, ND
  • NPI 1881802742
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1992975072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 FIECHTNER DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032361",
            "telephone_number": "701-235-2700",
            "fax_number": "701-235-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 25TH ST S STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036817",
            "telephone_number": "701-235-2700",
            "fax_number": "701-478-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGENSEN CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "JORGENSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-235-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS ND",
            "identifier": "01194001",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17387",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red River Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Red River Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cody Jordan
• Elizabeth Rose Jordan, DC
• Ivy L Jordan, DPT
• Sarah Jordan
• Erin Jore
• Jennifer Jorgensen, CRNA
• Kortney Joy Jorgensen, LPN
• Michael Jorgensen, D.C.
• Kaitlyn Jorgenson
• Tyler Jorgenson

• 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 Oct 7, 2020; 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.