Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306961768 Individual Practitioner Male Practitioner

Dr. Jonathan W Deitz , DC

Chiropractor • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Deitz, DC is a registered healthcare professional specializing in Chiropractor in Fargo, ND. Practice services are available at 4325 13TH AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4325 13th Ave S
Suite 5

Fargo, ND 581033341

Telephone 7012121419

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.4 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
136 Specialists

Practicing in Fargo, ND (512 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License ND 682

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
11334 (ND)
Commercial Insurance / Payer ID Bcbs Of Nd Provider #
19091 (ND)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1548658487

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 10, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2013

Registered at 4325 13TH AVE S, SUITE 5, FARGO, ND 581033341 (Tel: 7012121419)

📍
Updated Business Mailing Address September 10, 2013

Registered at 4325 13TH AVE S, SUITE 5, FARGO, ND 581033341 (Tel: 7012121419)

👤
Provider Name / Credentials Updated September 10, 2013

Recorded as JONATHAN DEITZ, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2013

Chiropractor (License #682 in ND)

🟢
Initial NPI Registration & Enumeration March 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306961768
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2007
Last Update: September 10, 2013
Sole Proprietor: No

Mailing Address

4325 13th Ave S, Suite 5

Fargo, ND 581033341

Phone: 7012121419

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.