Individual provider Active NPI

Chad Jason Hungerford, D.C.

  • Chiropractor
  • Brookings, SD
National Provider Identifier
1083771083
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
879SD Issued in SD
Practice address
2218 Derdall Dr
Brookings, SD 57006-2851
Phone
(605) 697-5145
Fax
(605) 697-5135
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 879SD SD Primary

Addresses

Primary practice location

2218 Derdall Dr
Brookings, SD 57006-2851

Mailing address

2218 Derdall Dr
Brookings, SD 57006-2851
Phone (605) 697-5145

Other identifiers 2

IdentifierTypeStateIssuer
4245OtherSDSVHP PROVIDER NUMBER
0007727OtherSDBCBS OF SD PROVIDER NUMBE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080826000791 SD Practitioner - Chiropractic 3173698149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hungerford Chiropractic PCGroup PAC ID 6103992011, 4 clinicians

Practice addresses (Care Compare)

2218 Derdall Dr
Brookings, SD 57006-2851
Phone (605) 697-5145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
879SDSDMDChiropractor
879SDMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Hungerford Chiropractic PC Chiropractor CurrentSince Oct 1, 2001 Accepting new patients

Locations

2218 Derdall Dr
Brookings, SD 57006
Phone (605) 271-7690

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1083771083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 DERDALL DR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062851",
            "telephone_number": "605-697-5145",
            "fax_number": "605-697-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 DERDALL DR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062851",
            "telephone_number": "605-697-5145",
            "fax_number": "605-697-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNGERFORD",
        "first_name": "CHAD",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "879SD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SVHP PROVIDER NUMBER",
            "identifier": "4245",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF SD PROVIDER NUMBE",
            "identifier": "0007727",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.