=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710894845
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MOMENTUM CHIROPRACTIC & REHAB PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2026
-----------------------------------------------------
Last Update Date | 08/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1929 N WASHINGTON ST STE B1
-----------------------------------------------------
City | BISMARCK
-----------------------------------------------------
State | ND
-----------------------------------------------------
Zip | 58501-1616
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 701-204-3631
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 721 CUSTER DR
-----------------------------------------------------
City | MANDAN
-----------------------------------------------------
State | ND
-----------------------------------------------------
Zip | 58554-2461
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 701-204-3631
-----------------------------------------------------
Fax | 701-204-3631
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIROPRACTOR
-----------------------------------------------------
Name | DR. BEKAH CHOUANARD
-----------------------------------------------------
Credential | DC
-----------------------------------------------------
Telephone | 701-204-3631
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111NR0400X
-----------------------------------------------------
Taxonomy Name | Rehabilitation Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------