TIMOTHY W STARK DC DACBSP ICSSD CSCS
NPI 1811147325
Chiropractor - Sports Physician in West Fargo, ND

Q: What is Timothy Stark's NPI number?

The NPI number for Timothy Stark is 1811147325. It was assigned to this individual provider in the NPPES registry on September 22, 2008.

Q: What is Timothy Stark's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Stark was last updated on September 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since September 22, 2008

715 13TH AVE E, SUITE 101, WEST FARGO, ND 58078(701) 492-0696(701) 492-0696 Get Directions Write a Review

NPPES record last updated: September 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Timothy W Stark Dc Dacbsp Icssd Cscs NPPES

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

TIMOTHY W STARK DC DACBSP ICSSD CSCS (NPI 1811147325) is an individual sports physician in West Fargo, North Dakota, licensed in North Dakota (647) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1811147325

Entity TypeIndividualMale

Primary Taxonomy111NS0005X

Provider Legal NameTIMOTHY W STARKCredential: DC DACBSP ICSSD CSCS

Location Address715 13TH AVE E, SUITE 101West Fargo, ND 58078-3380

Mailing Address715 13th Ave E, Suite 101West Fargo, ND 58078-3380 · (701) 492-0696 · Fax (701) 492-0696

Phone(701) 492-0696

Fax(701) 492-0696

Sole ProprietorNo

Enumeration DateSeptember 22, 2008

✔ NPI 1811147325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in ND · 647

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

715 13TH AVE E, West Fargo, ND 58078

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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 Timothy Stark's NPI number?

The NPI number for Timothy Stark is 1811147325. It was assigned to this individual provider in the NPPES registry on September 22, 2008.

Where is Timothy Stark located?

Timothy Stark practices at 715 13th Ave E Suite 101, West Fargo, ND 58078. The listed phone number is (701) 492-0696.

What is Timothy Stark's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

When was this NPI record last updated?

The NPPES record for Timothy Stark was last updated on September 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.