DR. KEVIN N BJORLIE (NPI# 1467599084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467599084 |
| Entity Type | Individual |
| Full Name | DR. KEVIN N BJORLIE |
| Credential | D.C |
| Practice Address |
1383 21st Ave N Fargo ND 58102 |
| Practice Telephone | 7012358050 |
| Practice Fax Number | 7012983738 |
| Mailing Telephone | 7012358050 |
| Mailing Fax Number | 7012983738 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | ND478 | ND | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BS OF MN | 4Z836BJ | 01 |
| ND | BS OF ND | 022168 | 01 |
| ND | 18684 | 05 |
| Street Address |
1383 21ST AVE N |
| City | FARGO |
| State | ND |
| Zip Code | 58102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427152909 | Charles B Klemz | Dentist | 1383 21st Ave N, Suite B, Fargo, ND 58102-1841 | 2006-09-12 |
| 1386982023 | Sandman Family Dentistry, Ltd | Dentist | 1383 21st Ave N, Suite B, Fargo, ND 58102-1841 | 2013-01-30 |
| 1811132145 | Neurolife Chiropractic & Functional Medicine Center, P.C. | Chiropractor | 1383 21st Ave N, Suite A, Fargo, ND 58102-1841 | 2008-12-16 |
| 1346485463 | Christopher Danduran | Chiropractor | 1383 21st Ave N, Suite A, Fargo, ND 58102-1841 | 2008-12-03 |
| 1578603379 | Paula Terese Adams | Chiropractor | 1383 21st Ave N, Suite A, Fargo, ND 58102 | 2007-02-08 |
| 1306932876 | Michael P Joyce | Dentist | 1383 21st Ave N, Suite B, Fargo, ND 58102-1841 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
| Find all providers in zip 58102 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374322 | Annie Caitlyn Fitzell | Chiropractor | 3501 30th Ave S Apt 2, Fargo, ND 58103-6243 | 2020-10-23 |
| 1912514662 | Megan Ann Sayler | Chiropractor | 5050 Timber Pkwy S Unit 120, Fargo, ND 58104-4811 | 2020-09-28 |
| 1508329053 | Clarity Brain Center LLC | Chiropractor | 3029 Brandt Dr S Ste A, Fargo, ND 58104-9140 | 2019-04-11 |
| 1366911026 | Myles James Brooks | Chiropractor | 1383 21st Ave N Ste A, Fargo, ND 58102-1841 | 2018-11-24 |
| 1215432125 | One Light Chiropractic Ltd | Chiropractor | 1650 45th St S Ste 204, Fargo, ND 58103-3247 | 2018-03-25 |
| 1538676853 | Whitney Marie Sundheim Robers | Chiropractor | 1555 43rd St S Ste 107, Fargo, ND 58103-3314 | 2018-01-08 |
| 1619482130 | Christopher Pischel | Chiropractor | 3361 45th St S Ste 108, Fargo, ND 58104-8988 | 2017-12-06 |
| 1730601774 | Chase Michael Enget | Chiropractor | 4501 15th Ave S Ste 104, Fargo, ND 58103-8956 | 2017-07-12 |
| 1720529126 | Dakota Clinic of Chiropractic, Pllc | Chiropractor | 5670 38th Avenue S Suite B, Fargo, ND 58104 | 2017-03-17 |
| 1831633106 | Seth Bradley Lunneborg | Chiropractor | 3260 20th St S Ste A, Fargo, ND 58104-5924 | 2016-12-06 |
| Find all providers in FARGO | ||||
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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.