Chiropractic Permits & Licenses in |, ND

Chiropractic services generally exempt, but supplements/products may trigger. No fee, but monthly/quarterly returns required if applicable.

Chiropractic services are generally exempt from sales tax in North Dakota. However, tangible goods sold (e.g., therapeutic devices, nutritional supplements) may be taxable. Registration required only if selling taxable items.

Required for foreign LLCs; domestic LLCs file Articles of Organization ($135). Renewal via biennial report.

Applies to all LLCs; filed online or by mail.

Prerequisites: Graduation from CCE-accredited chiropractic college, pass NBCE Parts I-IV exams, ND jurisprudence exam, background check. Applies to practitioners, not business entity.

Required for each physical location/office. Must be applied for by licensed chiropractor. Inspections may be required.

Required if using trade name/DBA. Published in official newspaper for 3 weeks prior ($ cost varies).

All LLCs, even single‑member, must obtain an EIN if they will file any federal tax return, have employees, or open a business bank account.

Required for all employers in North Dakota. Includes withholding state income tax from employee wages. Even single-member LLCs with employees must register.

Applies to employers with one or more employees. New employer rate is 2.0% on first $14,000 in wages per employee (as of 2024). Rate adjusts based on claims history.

LLCs are pass-through entities; income flows to members' personal tax returns. Business itself does not pay state income tax, but must file Form 50 for informational purposes if it has North Dakota-source income. Individual members must report and pay tax on their share.

North Dakota does not impose a franchise tax or gross receipts tax on LLCs or other business entities. This is not required.

Multi‑member LLCs are taxed as partnerships (Form 1065). Single‑member LLCs are disregarded entities (Schedule C).

Healthcare‑related standards (e.g., Bloodborne Pathogens) apply to chiropractic offices that handle patients’ bodily fluids.

Chiropractic offices are places of public accommodation and must be accessible to individuals with disabilities.

Most chiropractic offices generate little or no hazardous waste; this requirement only applies if they exceed generator thresholds.

Chiropractors must ensure all health claims are truthful, substantiated, and not misleading.

Even a single employee triggers FLSA coverage.

Applies to all employees, including part‑time and temporary staff.

Most small chiropractic LLCs will not meet the employee threshold, but the requirement must be monitored.

Chiropractic offices that provide spinal X‑rays must register the device and comply with radiation safety standards.

Most chiropractic offices with employees must keep the OSHA 300 Log.

Applicable if the chiropractic LLC hires independent contractors.

The report must be filed online or by mail and includes basic entity information.

Renewal must be completed online; a valid CEU record is required at the time of renewal.

12 CEUs required every two years, with at least 6 in clinical subjects.

Inspection covers sanitation, patient safety, and compliance with ND health codes.

Fire extinguishers, exit signage, and occupancy limits must be maintained.

LLC taxed as partnership must issue Schedule K‑1 to members.

Not statewide; requirements vary. For example, Bismarck requires a business license for all businesses operating within city limits. Check with individual city clerk’s office. Chiropractic offices generally fall under 'professional services' category.

Single-member LLCs with no employees may use owner’s SSN, but obtaining an EIN is recommended for liability protection and banking. Required for all employers.

Applies to sole proprietors and single-member LLCs. Multi-member LLCs file partnership return (Form 1065), members pay self-employment tax on distributive share.

Required for all businesses; chiropractic offices must comply with zoning. Confirm via online portal.

Must verify property zoning via Fargo Zoning Map; conditional use permit may be needed in some districts.

Submit plans to Inspections Division; chiropractic office fit-outs often require review.

Comply with Unified Development Code Chapter 20-10; electronic signs restricted.

Required for places of public assembly; chiropractic offices typically low-risk but must pass inspection.

Members report their share of partnership income on this return.

Required if tax liability expected to be $1,000 or more for the year.

Records must be accessible for inspection by the Board upon request.

Includes FLSA, OSHA, EEOC, Family & Medical Leave Act, etc.

Includes Minimum Wage, Unemployment Insurance, Workers’ Compensation notices.

Report includes practice address, number of treating chiropractors, and any changes in ownership.

Registration required to avoid false alarm fines.

Chiropractic clinics may need special approval in AG/RR districts per Zoning Ordinance Chapter 11.

All businesses including professional services; zoning verification required.

No specific health permits for chiropractic; general business zoning applies.

All employers in North Dakota with at least one employee are required to carry workers’ compensation insurance, unless the employer is a sole proprietor with no employees.

The $10,000 surety bond is a statutory requirement for all chiropractic practitioners and clinics in North Dakota to ensure compliance with professional standards.

North Dakota minimum liability limits are $25,000 per person for bodily injury, $50,000 per accident for bodily injury, and $25,000 for property damage.

North Dakota law does not mandate malpractice insurance for chiropractors, but it is strongly recommended and often required by payors and professional associations.

North Dakota does not require general liability insurance for chiropractic practices, though many clinics obtain it to protect against third‑party bodily injury or property damage claims.

North Dakota does not mandate product liability insurance, but it is advisable for any entity selling tangible goods.

Not applicable to chiropractic practices, which do not serve alcoholic beverages.