ADVANCE CHIROPRACTIC CENTER PLLC
NPI 1104302793
Chiropractor in Grand Forks, ND

Q: What is Advance Chiropractic Center PLLC's NPI number?

The NPI number for Advance Chiropractic Center PLLC is 1104302793. It was assigned to this organization in the NPPES registry on July 17, 2018.

Q: What is Advance Chiropractic Center PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since July 17, 2018

2840 19TH AVE S, GRAND FORKS, ND 58201(701) 772-2670(701) 772-2706 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Advance Chiropractic Center Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCE CHIROPRACTIC CENTER PLLC (NPI 1104302793) is a healthcare organization registered as a chiropractor in Grand Forks, North Dakota and active in the NPI registry since July 2018. The organization lists Julie Ann Hanson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104302793

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameADVANCE CHIROPRACTIC CENTER PLLC

Location Address2840 19TH AVE SGrand Forks, ND 58201-5957

Mailing Address2840 19th Ave SGrand Forks, ND 58201-5957 · (701) 772-2670 · Fax (701) 772-2706

Phone(701) 772-2670

Fax(701) 772-2706

Organization SubpartNo

Authorized OfficialJulie Ann HansonOffice Manager · (701) 772-2670

Enumeration DateJuly 17, 2018

✔ NPI 1104302793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Definition

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.

2840 19TH AVE S, Grand Forks, ND 58201

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Other Identifiers 2

Other1679570758Individual Npi

Other1003814484Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advance Chiropractic Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advance Chiropractic Center PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

John Fulp, D.C.

Chiropractic

NPI 1003814484

2840 19TH AVE S
Grand Forks, ND 58201

(701) 772-2670

✔ Accepts MedicareSame address

Marshal Pederson, DC

Chiropractic

NPI 1508333527

2840 19TH AVE S
Grand Forks, ND 58201

(701) 772-2670

✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advance Chiropractic Center PLLC's NPI number?

The NPI number for Advance Chiropractic Center PLLC is 1104302793. It was assigned to this organization in the NPPES registry on July 17, 2018.

Where is Advance Chiropractic Center PLLC located?

Advance Chiropractic Center PLLC is located at 2840 19th Ave S, Grand Forks, ND 58201. The listed phone number is (701) 772-2670.

What is Advance Chiropractic Center PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Advance Chiropractic Center PLLC enrolled in Medicare?

Yes. Advance Chiropractic Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advance Chiropractic Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Advance Chiropractic Center PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advance Chiropractic Center PLLC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Advance Chiropractic Center PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advance Chiropractic Center PLLC was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.