Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TAYLOR JON PTACEK DC
NPI 1477147064
Chiropractor in Fargo, ND

Active since February 24, 2021
4501 15TH AVE S STE 104, FARGO, ND 58103(701) 532-0541 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 31, 2026, Feb 24, 2021 (2 updates tracked since 2021).

About Dr. Taylor Jon Ptacek Dc NPPES

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

DR. TAYLOR JON PTACEK DC (NPI 1477147064) is an individual chiropractor in Fargo, North Dakota, licensed in North Dakota (1258) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1477147064
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TAYLOR JON PTACEKCredential: DC
Location Address4501 15TH AVE S STE 104Fargo, ND 58103-8956
Mailing Address4501 15th Ave S Ste 104Fargo, ND 58103-8956 · (701) 532-0541
Sole ProprietorNo
Enumeration DateFebruary 24, 2021
Last NPPES UpdateAugust 31, 20262 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1477147064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ND · 1258
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.
4501 15TH AVE S STE 104, Fargo, ND 58103

Other Providers at the Same Location NPPES 5

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

Massage Therapist
4501 15TH AVE S STE 104
FARGO, ND 58103
Chiropractor
4501 15TH AVE S STE 104
FARGO, ND 58103
Chiropractor
4501 15TH AVE S STE 104
FARGO, ND 58103
Chiropractor
4501 15TH AVE S STE 104
FARGO, ND 58103
Chiropractor
4501 15TH AVE S STE 104
FARGO, ND 58103

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 Taylor Ptacek's NPI number?

The NPI number for Taylor Ptacek is 1477147064. It was assigned to this individual provider in the NPPES registry on February 24, 2021.

Where is Taylor Ptacek located?

Taylor Ptacek practices at 4501 15th Ave S Ste 104, Fargo, ND 58103. The listed phone number is (701) 532-0541.

What is Taylor Ptacek'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 Taylor Ptacek was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.