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JONATHAN W DEITZ D.C.
NPI 1306961768
Chiropractor in Fargo, ND

Active since March 21, 2007
4325 13TH AVE S, SUITE 5, FARGO, ND 58103(701) 212-1419 Get Directions Write a Review

NPPES record last updated: September 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan W Deitz D.c. NPPES

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

JONATHAN W DEITZ D.C. (NPI 1306961768) is an individual chiropractor in Fargo, North Dakota, licensed in North Dakota (682) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1306961768
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJONATHAN W DEITZCredential: D.C.
Location Address4325 13TH AVE S, SUITE 5Fargo, ND 58103-3341
Mailing Address4325 13th Ave S, Suite 5Fargo, ND 58103-3341 · (701) 212-1419
Phone(701) 212-1419
Sole ProprietorNo
Enumeration DateMarch 21, 2007
Last NPPES UpdateSeptember 10, 2013
✔ NPI 1306961768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ND · 682
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.
4325 13TH AVE S, Fargo, ND 58103
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Other Identifiers 4

Medicaid11334ND
Other19091ND · Bcbs Of Nd Provider #
Medicare UPINU76870ND
Medicare ID-Type Unspecified711368ND

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SONNY RADENIC D.C.
Chiropractor
4325 13TH AVE S, SUITE 5
FARGO, ND 58103
Cass County (701) 356-0016

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 Jonathan Deitz's NPI number?

The NPI number for Jonathan Deitz is 1306961768. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Jonathan Deitz located?

Jonathan Deitz practices at 4325 13th Ave S Suite 5, Fargo, ND 58103. The listed phone number is (701) 212-1419.

What is Jonathan Deitz's specialty?

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

When was this NPI record last updated?

The NPPES record for Jonathan Deitz was last updated on September 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.