North Dakota med spa questions, answered from statute
Every question below is answered from North Dakota law, with the statute or board rule linked and the date we verified it. 20 of the 27 questions we ask have a verified North Dakota answer today, most recently checked Sep 8, 2026. The rest are not listed, because we would be guessing.
Organized by The Practice Perimeter — the decisions every state makes about an aesthetic practice.
Ownership
Who is allowed to own this business, and in what corporate form?
- Can a non-physician own a med spa in North Dakota?N.D.C.C. § 43-17-31(1)(r) (Fee-splitting, rebates and payment for referrals)
- What business structure does a med spa need in North Dakota?N.D. Cent. Code § 10-31-01(7); § 10-31-04(1)
- In North Dakota, may a non-clinical owner or manager be paid a share of revenue?N.D.C.C. § 43-17-31(1)(r) (Fee-splitting, rebates and payment for referrals)
Oversight
Which physician relationship does the state require, and what must that physician actually do?
- Does a med spa in North Dakota need a medical director?N.D.C.C. § 43-17-02.1(1) (Physician assistant — scope of practice)
- Who may operate a cosmetic laser in North Dakota?N.D. Cent. Code § 43-11-27.2
- Can a medical assistant give injections in North Dakota?N.D.C.C. § 43-17-02.1(2)(c) (Physician assistant — scope of practice)
- May an esthetician or laser technician perform microneedling in North Dakota?N.D. Cent. Code § 43-11-01(3) (“Advanced esthetics” defined — microneedling)
Intake
What has to happen before a patient can be treated, and can any of it be remote?
- Is an exam required before a patient can be treated in North Dakota?N.D.C.C. § 43-17-44 (Standard of care — telemedicine and in-person alike)
- Can the pre-treatment exam be done by telehealth in North Dakota?N.D.C.C. § 43-17-44 (Standard of care — telemedicine and in-person alike)
- Can a med spa in North Dakota offer compounded semaglutide or tirzepatide?N.D. Cent. Code § 43-15-01 (⛔ definition of “Compounding” — two limbs, one of them not for sale)
Who treats
Which license may perform which treatment, and under whose order?
- Can a registered nurse inject Botox or filler in North Dakota?N.D.C.C. § 43-12.1-02 (Definition of advanced practice registered nurse)
- Can a nurse practitioner treat without a supervising physician in North Dakota?N.D.C.C. § 43-12.1-02 (Definition of advanced practice registered nurse)
- Can a physician assistant inject or prescribe in North Dakota?N.D.C.C. § 43-17-02.1(1) (Physician assistant — scope of practice)
Facility
Does the premises itself have to be registered or licensed?
- Does a med spa have to register or hold a license in North Dakota?N.D. Cent. Code § 43-15-01 (⛔ definition of “Compounding” — two limbs, one of them not for sale)
- What does it cost to open a med spa in North Dakota?N.D. Cent. Code § 43-11-28(2) (⛔ what it costs to open — statutory MAXIMUM fees, not set prices)
Marketing
What may this practice claim about its services, its staff, and their credentials?
Enforcement
What happens when one of the six above is crossed?
- What happens if a med spa in North Dakota operates without the right license?N.D.C.C. § 43-12.1-15(4) (Practicing in any nursing role without a license)
- Can North Dakota shut down a med spa that is operating unlawfully?N.D.C.C. § 43-12.1-14 (What the Board of Nursing may impose)
- What can a practitioner in North Dakota be disciplined for?N.D.C.C. § 43-17-31(1)(a) (Fraud or deceit in the licensing process)
What is not here, and why
We ask 27 questions of every state we cover. North Dakota answers 20 of them from primary sources we have verified. Where a question is missing it is because the North Dakota record we hold does not address it — not because the answer is no. We would rather publish a shorter list than a page that looks like an answer and is not. As the North Dakota record grows, questions appear here on their own.
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← North Dakota overview · Regulatory monitoring and reference, not legal, medical, or compliance advice. Legislative data via LegiScan (CC BY 4.0).