Individual provider Active NPI

Andrew Nathan McCaulley, D.C.

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1093853558
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
927 Issued in SD
Practice address
1919 W 57TH St
Suite 103
Sioux Falls, SD 57108-2711
Phone
(605) 362-1225
Fax
(605) 362-9525
NPI assigned
Feb 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 927 SD Primary

Addresses

Primary practice location

1919 W 57TH St
Suite 103
Sioux Falls, SD 57108-2711

Mailing address

1919 W 57TH St
Suite 103
Sioux Falls, SD 57108-2711
Phone (605) 362-1225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100217000526 SD Practitioner - Chiropractic 8729122536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
927SDMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
McCaulley Chiropractic PC Chiropractor CurrentSince Sep 1, 2003 Accepting new patients

Locations

1919 W 57th St
Ste 103
Sioux Falls, SD 57108
Phone (605) 362-1225

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": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093853558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 W 57TH ST",
            "address_2": "SUITE 103",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082711",
            "telephone_number": "605-362-1225",
            "fax_number": "605-362-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 W 57TH ST",
            "address_2": "SUITE 103",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082711",
            "telephone_number": "605-362-1225",
            "fax_number": "605-362-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAULLEY",
        "first_name": "ANDREW",
        "middle_name": "NATHAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "927",
            "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.