Organization Active NPI

Determan Chiropractic Inc.

Doing business as Alternative Health Care Center of the Black Hills

  • Chiropractor
  • Rapid City, SD
National Provider Identifier
1164460192
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
682 Issued in SD
Legal business name
DETERMAN CHIROPRACTIC INC.
Doing business as
Alternative Health Care Center of the Black Hills
Practice address
343 Quincy St
Suite 103
Rapid City, SD 57701-3797
Phone
(605) 341-4850
Fax
(605) 343-7955
NPI assigned
Jun 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kevin John Determan, B.S.,D.C.,F.A.S.A.NPI 1306883566
Title
Owner Doctor
Phone
(605) 341-4850

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 682 SD Primary

Addresses

Primary practice location

343 Quincy St
Suite 103
Rapid City, SD 57701-3797

Mailing address

343 Quincy St
Suite 103
Rapid City, SD 57701-3797
Phone (605) 341-4850

Other identifiers 1

IdentifierTypeStateIssuer
7602903MedicaidSD

Other names 1

  • Alternative Health Care Center of the Black Hills Doing business as

National Provider Directory

National Provider Directory

Locations

1107 Mount Rushmore Rd
Ste 3
Rapid City, SD 57701
Phone (605) 341-4850

343 Quincy St
Ste 103
Rapid City, SD 57701
Phone (605) 341-4850

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164460192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 QUINCY ST",
            "address_2": "SUITE 103",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013797",
            "telephone_number": "605-341-4850",
            "fax_number": "605-343-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 QUINCY ST",
            "address_2": "SUITE 103",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013797",
            "telephone_number": "605-341-4850",
            "fax_number": "605-343-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETERMAN CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DETERMAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "605-341-4850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.S.,D.C.,F.A.S.A."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7602903",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alternative Health Care Center of the Black Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.