North Dakota
Chiropractic Information
North Dakota Chiropractic Summary
The practice of chiropractic involves the examination, diagnosis, and treatment of patients using various methods, including x-rays, diagnostic imaging, and clinical procedures taught by accredited chiropractic colleges. Treatments include adjustments or manipulations of the spine, joints, and displaced tissues, as well as physiotherapy, electrotherapy, and hydrotherapy. Chiropractors can provide professional opinions, assess permanent impairments, and delegate basic care to certified assistants. Telehealth services are also included.
Licensing Requirements
Post-Licensing Education
Continuing Education requirements
All active license holders shall complete a minimum of 20-hours of approved continuing chiropractic education per year to coordinate with the annual license renewal cycle (September 1st – September 1st of each year). Link: https://www.ndsbce.org/chiro/ce/requirements.asp
requirements for educators
To have a program approved, the sponsor must submit the following information to the board: a detailed course outline or syllabus that includes the method of instruction and testing materials, the qualifications of each instructor along with the subjects they will teach, and the procedure for recording attendance for those seeking continuing chiropractic education credit. Additionally, all instructors must be approved by the board of chiropractic examiners. Link: https://www.ndsbce.org/chiro/ce/providers.asp
Are PACE courses accepted for continuing education requirements?
YES
North Dakota requires examinations through the National Board of Chiropractic Examiners
Part I, Part II, Part III, Part IV, Physiotherapy
State Chiropractic Online Resources
Regulatory Authority
North Dakota Board of Chiropractic Examiners: https://www.ndsbce.org/
Chiropractic Statutes and Regulations
North Dakota Century Code Chapter 43-06 Chiropractors https://www.legis.nd.gov/cencode/t43c06.pdf
North Dakota Administrative Rules Title 17 https://ndlegis.gov/agency-rules/north-dakota-administrative-code/index.html
State Government Resources
State Legislature Homepage
State Legislature Bill Search Tool
Legislative member roster
State Governor's Office
Secretary of State
Office of the Insurance Commissioner
State Associations
State Chiropractic Coverage
Worker’s Compensation
North Dakota Workforce Safety & Insurance https://www.workforcesafety.com/
Provider Information https://www.workforcesafety.com/medical-providers/billing-payment
Medicaid
North Dakota Health & Human Services https://www.hhs.nd.gov/healthcare/medicaid
ND Medicaid Provider Information: https://www.hhs.nd.gov/healthcare/medicaid/provider
Practice Options
| Perform extremity adjustments? | Y |
| Provide nutritional advice? | Y |
| Provide manipulation under anesthesia? | N/A |
| Provide school enrollment exams? | N |
| Provide sports physical exams? | N |
| Provide return to play exams (including concussion protocol) for sports participation? | N |
| Perform US Department of Transportation exams? | Y1 |
| Treat animals? | Y2 |
| Perform acupuncture? | Y |
| Perform dry needling? | Y |
| Perform intraoral TMJ treatments? | Y |
| Perform internal coccyx adjustments? | Y |
| Are there limits to body areas DCs are allowed to examine and/or treat? | Y3 |
| Are there limits on diagnostic tools DCs are allowed to use? | N |
| Perform venipuncture? | N |
| Perform casting? | N/A |
Qualifications:
1. A chiropractor can perform a Department of Transportation (DOT) physical exam if they are a certified medical examiner (CME) listed on the Federal Motor Carrier Safety Administration’s (FMCSA) National Registry.
2. If it is acceptable to the local DVM.
3. Chiropractors cannot prescribe internal medications, perform surgeries, or practice obstetrics. Link: https://www.ndsbce.org/chiro/index.asp
Contributors
