PERFORMANCE CHIROPRACTIC PLLC NPI 1720237258

NPI Information

  • NPI: 1720237258
  • Provider Name: PERFORMANCE CHIROPRACTIC PLLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 4350 S WASHINGTON ST
    SUITE 100
    GRAND FORKS, ND
    ZIP 58201
  • Phone: (701) 732-2888

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NPI Details

PERFORMANCE CHIROPRACTIC PLLC is a chiropractor in Grand Forks, ND. The provider is 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. PERFORMANCE CHIROPRACTIC PLLC NPI is 1720237258. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4350 S WASHINGTON ST
SUITE 100
GRAND FORKS, ND
ZIP 58201-184
Phone: (701) 732-2888
Fax: (701) 732-2711

The provider's authorized official is Stacy Lane Hallgren .
The authorized official title is Chiropractor/owner and has the following contact phone number (701) 732-2888.

The enumeration date for this NPI number is 9/9/2008 and was last updated on 1/9/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor798NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11407036627MEDICAIDMINNESOTA
214609MEDICAIDNORTH DAKOTA
3713023OTHERNORTH DAKOTAPTAN
431062MEDICARE PINNORTH DAKOTA

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: 11/21/2025

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