Provider Demographics
NPI:1326436783
Name:CARR, DANA (DC)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:
Last Name:CARR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DANA
Other - Middle Name:E
Other - Last Name:ASPLUND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1500 INTERCHANGE AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-2084
Mailing Address - Country:US
Mailing Address - Phone:701-712-6488
Mailing Address - Fax:701-712-6487
Practice Address - Street 1:1500 INTERCHANGE AVE STE 202
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-2084
Practice Address - Country:US
Practice Address - Phone:701-712-6488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-07
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6039111NS0005X
WACH60550806111NS0005X
ND1024111NS0005X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician