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SOUTHRIDGE CHIROPRACTIC CLINIC
NPI 1205848108
Chiropractor in Bismarck, ND

Active since August 12, 2006
425 S 7TH ST, BISMARCK, ND 58504(701) 258-8388(701) 258-8788 Get Directions Write a Review

NPPES record last updated: August 23, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southridge Chiropractic Clinic NPPES

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

SOUTHRIDGE CHIROPRACTIC CLINIC (NPI 1205848108) is a healthcare organization registered as a chiropractor in Bismarck, North Dakota and active in the NPI registry since August 2006. The organization lists Sheri Lee Ten Broek, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1205848108
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTHRIDGE CHIROPRACTIC PC
Location Address425 S 7TH STBismarck, ND 58504-5801
Mailing Address425 S 7th StBismarck, ND 58504-5801 · (701) 258-8388 · Fax (701) 258-8788
Phone(701) 258-8388
Fax(701) 258-8788
Organization SubpartNo
Authorized OfficialSheri Lee Ten BroekOwner/doctor · (701) 258-8388
Enumeration DateAugust 12, 2006
Last NPPES UpdateAugust 23, 2007
✔ NPI 1205848108 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.
425 S 7TH ST, Bismarck, ND 58504
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Other Names 1

Doing Business AsSouthridge Chiropractic Clinic

Other Identifiers 3

Medicare ID-Type Unspecified70543ND
Other572001ND · Bcbs Of Nd
Medicaid17897ND

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)

Southridge Chiropractic Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Southridge Chiropractic Clinic, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Kelly Gartner, DC
Chiropractic
NPI 1497149470
425 S 7TH ST
Bismarck, ND 58504
(701) 258-8388
✔ Accepts MedicareSame address
Rusty Kjos, D.C.
Chiropractic
NPI 1487993044
425 S 7TH ST
Bismarck, ND 58504
(701) 217-0122
✔ Accepts MedicareSame address
Cole Svihovec, DC
Chiropractic
NPI 1871362962
425 S 7TH ST
Bismarck, ND 58504
(701) 258-8388
✔ Accepts MedicareSame address
Chad Kahl
Chiropractic
NPI 1346252178
425 S 7TH ST
Bismarck, ND 58504
(701) 258-8388
✔ Accepts MedicareSame address
Jamie Kahl, D.C.
Chiropractic
NPI 1548272263
425 S 7TH ST
Bismarck, ND 58504
(701) 258-8388
✔ Accepts MedicareSame address
Angela Ness
Chiropractic
NPI 1295747996
425 S 7TH ST
Bismarck, ND 58504
(701) 258-8388
✔ Accepts MedicareSame address
Sheri Ten Broek, DC
Chiropractic
NPI 1639181464
425 S 7TH ST
Bismarck, ND 58504
(701) 258-8388
✔ 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 Southridge Chiropractic PC's NPI number?

The NPI number for Southridge Chiropractic PC is 1205848108. It was assigned to this organization in the NPPES registry on August 12, 2006. The provider is doing business as Southridge Chiropractic Clinic.

Where is Southridge Chiropractic PC located?

Southridge Chiropractic PC is located at 425 S 7th St, Bismarck, ND 58504. The listed phone number is (701) 258-8388.

What is Southridge Chiropractic PC's specialty?

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

Is Southridge Chiropractic PC enrolled in Medicare?

Yes. Southridge Chiropractic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southridge Chiropractic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Chiropractic, reassign their Medicare billing to Southridge Chiropractic PC. 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, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southridge Chiropractic PC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Southridge Chiropractic PC 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 Southridge Chiropractic PC was last updated on August 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.