BACK AND NECK PAIN CLINIC PC
NPI 1366745309
Chiropractor in Jamestown, ND

Active since December 14, 2010
623 10TH ST SE, JAMESTOWN, ND 58401(701) 252-6509 Get Directions Write a Review

NPPES record last updated: January 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Back And Neck Pain Clinic Pc NPPES

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

BACK AND NECK PAIN CLINIC PC (NPI 1366745309) is a healthcare organization registered as a chiropractor in Jamestown, North Dakota and active in the NPI registry since December 2010. The organization lists Robert Purcell, President, as its authorized official.

NPPES Registry Identity

NPI1366745309
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBACK AND NECK PAIN CLINIC PC
Location Address623 10TH ST SEJamestown, ND 58401-5546
Mailing Address623 10th St SeJamestown, ND 58401-0000
Organization SubpartNo
Authorized OfficialRobert PurcellPresident · (701) 252-6509
Enumeration DateDecember 14, 2010
Last NPPES UpdateJanuary 11, 2019
✔ NPI 1366745309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ND · 618
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.
623 10TH ST SE, Jamestown, ND 58401

Other Identifiers 1

Medicaid15462ND

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Back And Neck Pain Clinic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Back And Neck Pain Clinic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1740234947
623 10TH ST SE
Jamestown, ND 58401
(701) 252-6509
✔ 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 Back And Neck Pain Clinic PC's NPI number?

The NPI number for Back And Neck Pain Clinic PC is 1366745309. It was assigned to this organization in the NPPES registry on December 14, 2010.

Where is Back And Neck Pain Clinic PC located?

Back And Neck Pain Clinic PC is located at 623 10th St SE, Jamestown, ND 58401. The listed phone number is (701) 252-6509.

What is Back And Neck Pain Clinic PC's specialty?

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

Is Back And Neck Pain Clinic PC enrolled in Medicare?

Yes. Back And Neck Pain Clinic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Back And Neck Pain Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Back And Neck Pain Clinic 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Back And Neck Pain Clinic PC accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Back And Neck Pain Clinic 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 Back And Neck Pain Clinic PC was last updated on January 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.