Carol Ann Runcik, L.M.T

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT10152 Issued in SD

Practice address

350 12TH St
Rapid City, SD 57701-2618

Phone

(605) 342-3908

Fax

(605) 716-0645

NPI assigned

Aug 4, 2021

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Ryan V. Swenson, DC, PC

  • Chiropractor
  • Rapid City, SD
  • NPI 1023409281
  NPD

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1073287983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 12TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012618",
            "telephone_number": "605-342-3908",
            "fax_number": "605-716-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 12TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012618",
            "telephone_number": "605-342-3908",
            "fax_number": "605-716-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNCIK",
        "first_name": "CAROL ANN",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SD",
            "license": "MT10152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Rubins
• John M Rud, MD
• Mary Lee Rude, PT
• Jim Ruhe
• Rita Rumbaugh, RN
• Derric Oliver Running Horse, ACT
• Ruslan Rusanov, DMD
• Linda Rush, MS, LPC, CCDCIII
• Tristen Rush, PT
• Rushmore Ambulatory Surgery Center

• Massage Therapist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Massage Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.