Healthcare Provider Details

I. General information

NPI: 1710894845
Provider Name (Legal Business Name): MOMENTUM CHIROPRACTIC & REHAB PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1929 N WASHINGTON ST STE B1
BISMARCK ND
58501-1616
US

IV. Provider business mailing address

721 CUSTER DR
MANDAN ND
58554-2461
US

V. Phone/Fax

Practice location:
  • Phone: 701-204-3631
  • Fax:
Mailing address:
  • Phone: 701-204-3631
  • Fax: 701-204-3631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. BEKAH CHOUANARD
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 701-204-3631