DR. JADIAN STARLA MACK (NPI# 1649610056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649610056 |
Entity Type | Individual |
Full Name | DR. JADIAN STARLA MACK |
Credential | D.C. |
Practice Address |
1418 S Broadway Suite C Minot ND 58701-5933 |
Practice Telephone | 7012090230 |
Enumeration Date | 2013-06-29 |
Last Update Date | 2015-03-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 949 | ND | Chiropractic Providers |
Street Address |
1418 S BROADWAY SUITE C |
City | MINOT |
State | ND |
Zip Code | 58701-5933 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194166173 | Healthsource of Minot, LLC | Chiropractor | 1418 S Broadway, Ste C, Minot, ND 58701 | 2013-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
1962973453 | Julia Irene Lakoduk | Speech-Language Pathologist | Bell Elementary, 5901 Us-52, Minot, ND 58701 | 2018-12-10 |
1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
1265826036 | Premier Physical Therapy of North Dakota Pllc | Physical Therapist | 1715 South Broadway, Minot, ND 58701 | 2015-03-19 |
Find all providers in zip 58701 |
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 |
---|---|---|---|---|
1417569690 | Shelby Dawn Lee | Chiropractor | 1412 2nd Ave Sw Ste C, Minot, ND 58701-3630 | 2020-08-19 |
1982257036 | Chiropractic Solutions Pllc | Chiropractor | 3108 S Broadway Ste B, Minot, ND 58701-3127 | 2019-07-18 |
1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
1801348370 | Kirk Layne Mason | Chiropractor | 300 3rd Ave Sw Ste F, Minot, ND 58701-4346 | 2016-10-31 |
1457805566 | Rebecca Rose Perry-domres | Chiropractor | 1105 Valley View Dr, Minot, ND 58703-1643 | 2016-08-05 |
1851768501 | Apex Chiropractic | Chiropractor | 1500 21st Ave Nw, Suite 105, Minot, ND 58703 | 2015-08-28 |
1427460088 | Mackenzie J Jones | Chiropractor | 1412 2nd Ave Sw, Minot, ND 58701-3625 | 2014-05-29 |
1164833919 | Paul Pearson | Chiropractor | 1310 Burdick Expy E, Minot, ND 58701-4912 | 2014-05-14 |
1346589264 | 701 Chiropractic PC | Chiropractor | 201 University Ave W, Minot, ND 58703-2349 | 2013-02-13 |
Find all providers in MINOT |
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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.