Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Rusty Alan Kjos, DC

Individual provider Chiropractor · NPI 1487993044

Dr. Rusty Alan Kjos, DC is a Chiropractic in Bismarck, North Dakota. Graduated from Western States College of Chiropractic in 2012, 14 years ago. Practices with Southridge Chiropractic PC, a 7-clinician group and accepts Medicare assignment. Licensed in North Dakota and Oregon.

Years since qualifying
14
Trained at
Western States College of Chiropractic
Licensed in
ND, OR
In the registry since
2013
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

425 S 7th St
Bismarck, ND 58504-5801
Phone: (701) 217-0122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 952 (ND)
Chiropractor Taxonomy 111N00000X · Licence 5110 (OR)

Record details

NPI number1487993044
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedFebruary 1, 2013
Last updated in NPPESNovember 19, 2018
Mailing address425 S 7th St, Bismarck, ND 58504-5801

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolWESTERN STATES COLLEGE OF CHIROPRACTIC
Graduated 2012 (14 years in practice)
Group practice Southridge Chiropractic Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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