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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

HOMEGROWN CHIROPRACTIC PC
NPI 1710894902
Chiropractor in Fargo, ND

Active since August 25, 2026
4501 15TH AVE S STE 104, FARGO, ND 58103(701) 532-0541 Get Directions Write a Review

NPPES record added: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Homegrown Chiropractic Pc NPPES

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

HOMEGROWN CHIROPRACTIC PC (NPI 1710894902) is a healthcare organization registered as a chiropractor in Fargo, North Dakota and active in the NPI registry since August 2026. The organization lists Taylor Jon Ptacek, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1710894902
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHOMEGROWN CHIROPRACTIC PC
Location Address4501 15TH AVE S STE 104Fargo, ND 58103-8956
Mailing Address4501 15th Ave S Ste 104Fargo, ND 58103-8956 · (701) 532-0541
Phone(701) 532-0541
Organization SubpartNo
Authorized OfficialTaylor Jon PtacekChiropractor · (701) 710-0365
Enumeration DateAugust 25, 2026
NPPES CertifiedAugust 25, 2026
✔ NPI 1710894902 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.
4501 15TH AVE S STE 104, Fargo, ND 58103
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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

Other Providers at the Same Location NPPES 3

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

JAMES MERLE GULLEKSON LMT
Massage Therapist
4501 15TH AVE S STE 104
FARGO, ND 58103
Cass County (701) 446-8833
RLN PLLC
Chiropractor
4501 15TH AVE S STE 104
FARGO, ND 58103
Cass County (701) 532-0541
RACHEL NELSON DC
Chiropractor
4501 15TH AVE S STE 104
FARGO, ND 58103
Cass County (701) 739-3845

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 Homegrown Chiropractic PC's NPI number?

The NPI number for Homegrown Chiropractic PC is 1710894902. It was assigned to this organization in the NPPES registry on August 25, 2026.

Where is Homegrown Chiropractic PC located?

Homegrown Chiropractic PC is located at 4501 15th Ave S Ste 104, Fargo, ND 58103. The listed phone number is (701) 532-0541.

What is Homegrown Chiropractic PC'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 Homegrown Chiropractic PC was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.