Active NPI
Tom R Ortman, DC
- Chiropractor
- Canistota, SD
National Provider Identifier
1104870211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 539
- Practice address
- 209 W Main
Canistota, SD 57012 - Phone
- (605) 296-3431
- Fax
- (605) 296-3565
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 539 | SD | Primary |
Addresses
Primary practice location
209 W Main
Canistota, SD 57012
Mailing address
PO Box 157
Canistota, SD 57012
Phone (605) 296-3431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 539 | SD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316476800000",
"number": "1104870211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 157",
"city": "CANISTOTA",
"state": "SD",
"postal_code": "57012",
"telephone_number": "605-296-3431",
"fax_number": "605-296-3565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 W MAIN",
"city": "CANISTOTA",
"state": "SD",
"postal_code": "57012",
"telephone_number": "605-296-3431",
"fax_number": "605-296-3565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTMAN",
"first_name": "TOM",
"middle_name": "R",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2011-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canistota, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.