Active NPI
Jeff Monroe, D.C., DACAN
- Neurology Chiropractor
- Pierre, SD
National Provider Identifier
1124168398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 649
- Practice address
- 127 W Dakota Ave
Pierre, SD 57501-4501 - Phone
- (605) 224-0264
- Fax
- (605) 945-3227
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 649 | SD | Primary |
Addresses
Primary practice location
127 W Dakota Ave
Pierre, SD 57501-4501
Mailing address
127 W Dakota Ave
Pierre, SD 57501-4501
Phone (605) 224-0264
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7602602 | Medicaid | SD | |
| 4999237 | Other | SD | WELLMARK BLUE CROSS |
| C649 | Other | SD | DAKOTACARE |
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 |
|---|---|---|---|
| 649 | SD | MD | Neurology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1124168398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 W DAKOTA AVE",
"city": "PIERRE",
"state": "SD",
"postal_code": "575014501",
"telephone_number": "605-224-0264",
"fax_number": "605-945-3227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 W DAKOTA AVE",
"city": "PIERRE",
"state": "SD",
"postal_code": "575014501",
"telephone_number": "605-224-0264",
"fax_number": "605-945-3227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONROE",
"first_name": "JEFF",
"credential": "D.C., DACAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "SD",
"license": "649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7602602",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BLUE CROSS",
"identifier": "4999237",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "C649",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pierre, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.