Black Hills Health and Wellness Center of Rapid Ci
Organization Active NPI Chiropractor · Rapid City, SD
NPI 1164590758 · NPPES record last updated Apr 25, 2012
Key facts
- NPI
- 1164590758
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- BLACK HILLS HEALTH AND WELLNESS CENTER OF RAPID CI
- Practice address
- 1220 Mt Rushmore Rd
Ste 1
Rapid City, SD 57701 - Phone
- (605) 341-7500
- Fax
- (605) 341-7903
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Josh G Biberdorf, DC
- Title
- General Partner
- Phone
- (605) 341-7500
Other NPIs on the same Medicare enrollment 2
Practitioners 3
-
Jayme George Scherr, D.C.
-
Kevin Cook, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040109000258 | SD | Part B Supplier - Clinic/Group Practice | 1850291659 |
Receives reassigned benefits from 2 practitioners 2 other NPIs on this enrollment Practice locations: Rapid City, SD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
1220 Mt Rushmore Rd
Ste 1
Rapid City, SD 57701
Mailing address
1220 Mt Rushmore Rd
Ste 1
Rapid City, SD 57701
Phone (605) 341-7500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0004738 | Other | SD | BLUE CROSS BLUE SHIELD |
Other providers in Rapid City, SD
- Black Hills Center for Healing and Advancement of Psychotherapy PLC
- Black Hills Child Psychiatric Services
- Black Hills Dermatology PC
- Black Hills Embrace LLC
- Black Hills Healing Arts Inc
- Black Hills Health Care System
- Black Hills Hearing Health
- Black Hills Hearing Health
- Black Hills Hearing Specialist LLC
- Black Hills Hospice, LLC
All providers in Rapid City, SD · Chiropractor in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.