Individual provider Active NPI

Dylan Lautt, DC

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1063127280
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1457 Issued in SD
Practice address
3301 E 26TH St Ste 109
Sioux Falls, SD 57103-4180
Phone
(605) 339-9473
NPI assigned
Jan 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1457 SD Primary

Addresses

Primary practice location

3301 E 26TH St Ste 109
Sioux Falls, SD 57103-4180

Mailing address

4001 S Appollonia CT
Sioux Falls, SD 57110-7548
Phone (605) 370-1575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230206000204 SD Practitioner - Chiropractic 5991177743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthwise Chiropractic IncGroup PAC ID 8729990809, 2 clinicians

Practice addresses (Care Compare)

3301 E 26TH St
Suite 109
Sioux Falls, SD 57103-4180
Phone (605) 339-9473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthwise Chiropractic Inc Chiropractor CurrentSince Jan 22, 2023 Accepting new patients

Locations

3301 E 26th St
Ste 109
Sioux Falls, SD 57103
Phone (605) 334-2895

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": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1063127280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 S APPOLLONIA CT",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571107548",
            "telephone_number": "605-370-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E 26TH ST STE 109",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571034180",
            "telephone_number": "605-339-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUTT",
        "first_name": "DYLAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1457",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 23, 2023; 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.