Organization Active NPI

Chirosport Lake Lorraine PC

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1104627769
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROSPORT LAKE LORRAINE PC
Practice address
2400 S Marion Rd Ste 120
Sioux Falls, SD 57106-0610
Phone
(605) 215-4424
NPI assigned
Mar 20, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ross McDaniel, DCNPI 1558347443
Title
Owner
Phone
(605) 261-8823

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250519001895 SD Part B Supplier - Clinic/Group Practice 7911425418 Receives reassigned benefits from 2 practitioners
Practice locations: Sioux Falls, SD

National Provider Directory

National Provider Directory

Locations

2400 S Marion Rd
Ste 120
Sioux Falls, SD 57106
Phone (605) 215-4424

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2400 S Marion Rd Ste 120
Sioux Falls, SD 57106-0610

Mailing address

2400 S Marion Rd Ste 120
Sioux Falls, SD 57106-0610

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 20, 2025.

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1104627769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S MARION RD STE 120",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571060610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S MARION RD STE 120",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571060610",
            "telephone_number": "605-215-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROSPORT LAKE LORRAINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-261-8823",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Mar 20, 2025; 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.