Individual provider Active NPI

Lindsey Marie Sivertsen, D.C.

  • Chiropractor
  • Tyndall, SD
National Provider Identifier
1154752640
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1243 Issued in SD
Practice address
1605 Main St.
Tyndall, SD 57066
Phone
(605) 384-5419
Fax
(605) 384-5410
NPI assigned
Dec 9, 2013
Last updated
Oct 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1243 SD Primary

Addresses

Primary practice location

1605 Main St.
Tyndall, SD 57066

Mailing address

40977 277TH St
Parkston, SD 57366-5622
Phone (605) 661-9639

Other identifiers 1

IdentifierTypeStateIssuer
S108034OtherSDMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140306001152 SD Practitioner - Chiropractic 0042440331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

310 E Main St
Parkston, SD 57366-2014
Phone (605) 928-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Chiropractic Prof LLC Chiropractor CurrentSince Feb 11, 2019 Accepting new patients
First Chiropractic Centers, PC Chiropractor Past Accepting new patients
Jay J Fitzgerald DC Chiropractor Past Accepting new patients

Locations

310 E Main St
Parkston, SD 57366
Phone (605) 928-5000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1154752640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40977 277TH ST",
            "city": "PARKSTON",
            "state": "SD",
            "postal_code": "573665622",
            "telephone_number": "605-661-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 MAIN ST.",
            "city": "TYNDALL",
            "state": "SD",
            "postal_code": "57066",
            "telephone_number": "605-384-5419",
            "fax_number": "605-384-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVERTSEN",
        "first_name": "LINDSEY",
        "middle_name": "MARIE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "S108034",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyndall, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.