North Dakota

Chiropractic Information

North Dakota Chiropractic Summary

The North Dakota Board of Chiropractic Examiners was established in 1915 to protect the citizens of the state by regulating the practice of chiropractic. The Board licenses chiropractors and certified chiropractic clinical assistants and disciplines them if they violate state law.

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

Bachelor’s Degree Required for Licensure: NO
Renewal Term: Annual
Chiropractic Physician entitlement: YES
Additional training/certification required for medicine and rehab services? N/A

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

North Dakota Chiropractic Association

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State Chiropractic Coverage

Worker’s Compensation

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 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

General Statutes & Regulations For All Healthcare Providers

Contributors

Dr. Kris Anderson

Dr. Kris Anderson