VAN DAM CHIROPRACTIC, PC (NPI# 1205038023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205038023 |
Entity Type | Organization |
Organization Name | VAN DAM CHIROPRACTIC, PC |
Practice Address |
1203 28th St S Ste B Fargo ND 58103-8711 |
Practice Telephone | 7015325320 |
Practice Fax Number | 7012802915 |
Mailing Telephone | 7015325320 |
Mailing Fax Number | 7012802915 |
Enumeration Date | 2007-06-04 |
Last Update Date | 2019-05-28 |
Authorized Official Name | DR. SCOTT A VAN DAM (PRESIDENT) |
Authorized Official Telephone | 7012802599 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305S00000X | Point of Service | 747 | ND | Managed Care Organizations |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | IND PROVIDER | 1750343877 | 01 |
Street Address |
1203 28TH ST S STE B |
City | FARGO |
State | ND |
Zip Code | 58103-8711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750343877 | Scott A Van Dam | Chiropractor | 1203 28th St S Ste B, Fargo, ND 58103-8711 | 2006-04-04 |
1780144006 | Jacob Parsons | Chiropractor | 1203 28th St S Ste B, Fargo, ND 58103-8711 | 2019-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
Find all providers in zip 58103 |
Taxonomy Code | 305S00000X |
Grouping | Managed Care Organizations |
Classification | Point of Service |
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376143354 | Midwest Pest Control Inc. | Point of Service | 1402 13 1/2 St S, Fargo, ND 58103-3911 | 2020-10-28 |
1851309579 | Noridian Mutual Insurance Company | Point of Service | 4510 13th Ave S, Fargo, ND 58121-1000 | 2006-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275942666 | Bether 4 Acres | Point of Service | 1404 1st Ave N, Jamestown, ND 58401-2379 | 2014-08-11 |
1932513645 | Eddy County Social Services | Point of Service | 22 9th St S, New Rockford, ND 58356-1540 | 2014-06-20 |
1568877652 | Foster County Social Services | Point of Service | 1000 5th St N, Carrington, ND 58421-1113 | 2014-06-26 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.