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BISMARCK SPORTS AND SPINE PLLC NPI 1538518857


NPI Information

NPI: 1538518857
Provider Name: BISMARCK SPORTS AND SPINE, PLLC

Doing Business As: BISMARCK SPORTS AND SPINE

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 35D0408853

Address:
1500 INTERCHANGE AVE STE 202
BISMARCK, ND
ZIP 58501
Phone: (701) 712-6488
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BISMARCK SPORTS AND SPINE, PLLC is a clinic center in Bismarck, ND. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BISMARCK SPORTS AND SPINE, PLLC NPI is 1538518857. The provider is registered as an organization entity type.
The provider Is Doing Business As Bismarck Sports And Spine.

The provider's business location address is:

1500 INTERCHANGE AVE STE 202
BISMARCK, ND
ZIP 58501-084
Phone: (701) 712-6488
Fax: (701) 712-6487

The provider's authorized official is Dana Carr .
The authorized official title is Chiropractor/owner and has the following contact phone number (701) 712-6488.

The CLIA number assigned to this NPI record is 35D0408853 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2016 and was last updated on 8/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center40,644,500NORTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.