Individual provider Active NPI

Debra M Cheeseman, D.C.

  • Chiropractor
  • Salem, SD
National Provider Identifier
1154463347
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
794 Issued in SD
Practice address
221 North Main St
Salem, SD 57058
Phone
(605) 425-2754
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 794 SD Primary

Addresses

Primary practice location

221 North Main St
Salem, SD 57058

Mailing address

221 North Main St
PO Box 59
Salem, SD 57058
Phone (605) 425-2754

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.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cheeseman Chiropractic PC 3 clinicians

Practice addresses (Care Compare)

740 S Main St
Salem, SD 57058-8400
Phone (605) 425-2754

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120321000430 SD Practitioner - Chiropractic 9830171388 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
794SDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cheeseman Chiropractic PC Chiropractor CurrentSince Jul 1, 2003 Accepting new patients

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345766400000",
    "number": "1154463347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 NORTH MAIN ST",
            "address_2": "PO BOX 59",
            "city": "SALEM",
            "state": "SD",
            "postal_code": "57058",
            "telephone_number": "605-425-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 NORTH MAIN ST",
            "city": "SALEM",
            "state": "SD",
            "postal_code": "57058",
            "telephone_number": "605-425-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEESEMAN",
        "first_name": "DEBRA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; 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.