Crystal Lee Paden, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

985 Issued in SD

Practice address

102 E. Cherry St. #106
Vermillion, SD 57069-1217

Phone

(605) 624-9483

Fax

(605) 624-9687

NPI assigned

Feb 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• IA HMO
• CO HMO
• IA HMO C-SNP

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.

• Family First Chiropractic, PC

  • Chiropractor
  • Vermillion, SD
  • NPI 1629169404
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1053385013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E. CHERRY ST. #106",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570691217",
            "telephone_number": "605-624-9483",
            "fax_number": "605-624-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E. CHERRY ST. #106",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570691217",
            "telephone_number": "605-624-9483",
            "fax_number": "605-624-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADEN",
        "first_name": "CRYSTAL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "985",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1348",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252238-00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "22354",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA NUMBER",
            "identifier": "6889",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7601520",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE NUMBER",
            "identifier": "239570",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK PROVIDER NUMBER",
            "identifier": "0040463",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan James Olson, M.D.
• Mary J Olson, M.D.
• Megan Annlee Olson
• Thomas Harry Olson, M.D.
• Brooke Opdahl
• Michael Patrick Paden, D.C.
• Juliana Marie Paquette
• Chan J. Park, MD
• Johanna Christine Parker, RD
• Theresa Ann Person, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.