Provider Demographics
NPI:1780211474
Name:SCHELL, DAKOTA ALLEN LEO (DC)
Entity Type:Individual
Prefix:DR
First Name:DAKOTA
Middle Name:ALLEN LEO
Last Name:SCHELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 MOONSTONE LN
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-6389
Mailing Address - Country:US
Mailing Address - Phone:701-214-7703
Mailing Address - Fax:
Practice Address - Street 1:2730 PAINTBALL WAY
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:ND
Practice Address - Zip Code:58504-2500
Practice Address - Country:US
Practice Address - Phone:701-955-2102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1121111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor