Individual provider Active NPI

Rick Daniel Odland, D.C.

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1013069947
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
946 Issued in SD
Practice address
3600 S Marion Rd Ste 101
Sioux Falls, SD 57106-1349
Phone
(605) 361-2500
Fax
(605) 362-1930
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 946 SD Primary

Addresses

Primary practice location

3600 S Marion Rd Ste 101
Sioux Falls, SD 57106-1349

Mailing address

3600 S Marion Rd Ste 101
Sioux Falls, SD 57106-1349
Phone (605) 361-2500

Other identifiers 1

IdentifierTypeStateIssuer
7601300MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080221000003 SD Practitioner - Chiropractic 9931283660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Odland Chiropractic Clinic PCGroup PAC ID 7810071438, 3 clinicians

Practice addresses (Care Compare)

3600 S Marion Rd
Sioux Falls, SD 57106-1307
Phone (605) 361-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Odland Chiropractic Clinic PC Chiropractor CurrentSince Jan 25, 2008 Accepting new patients

Locations

3600 S Marion Rd
Ste 101
Sioux Falls, SD 57106
Phone (605) 361-2500

3600 S Marion Rd
Sioux Falls, SD 57106
Phone (605) 361-2500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1013069947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 S MARION RD STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061349",
            "telephone_number": "605-361-2500",
            "fax_number": "605-362-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S MARION RD STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061349",
            "telephone_number": "605-361-2500",
            "fax_number": "605-362-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODLAND",
        "first_name": "RICK",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7601300",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.