Trevor A Penning, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1242 Issued in SD

Practice address

1222 22ND Ave S
Brookings, SD 57006-0850

Phone

(605) 696-7222

Fax

(605) 692-6614

NPI assigned

Nov 19, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brookings Chiropractic Center, LLCGroup PAC ID 0648205831, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Brookings Chiropractic Center, LLC

  • Chiropractor
  • Brookings, SD
  • NPI 1679507834
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1033549548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 22ND AVE S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062804",
            "telephone_number": "605-696-7222",
            "fax_number": "605-692-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 22ND AVE S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570060850",
            "telephone_number": "605-696-7222",
            "fax_number": "605-692-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNING",
        "first_name": "TREVOR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-19",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross Reilley Oren, ABOC
• Melissa Jo Osbeck, OTR/L
• Amy Lynn Osterberg
• Amber Overby, CRNA
• Brooke Pape Johnson, LCSW, MSW
• Fernando Miguel Perez, ATC
• Clark Gerald Perkins, NCC, LPC
• Jacalyn Person, CSW-PIP
• Alyssa Dawn Peterson, PA-C
• Sara Ruth Peterson, DPT

• Chiropractor in Brookings, SD
• Providers in Brookings, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.