NPIMap

Organization Active NPI

Black Hills Health and Wellness Center of Rapid Ci

  • Chiropractor
  • Rapid City, SD
National Provider Identifier
1164590758
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 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
Last updated
Apr 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Dr. Josh G Biberdorf, DC
Title
General Partner
Phone
(605) 341-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

139 W 2nd St
Chadron, NE 69337
Phone (308) 747-2218

Practitioners & affiliated clinicians

Practitioners 3

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1164590758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MT RUSHMORE RD",
            "address_2": "STE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-341-7500",
            "fax_number": "605-341-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MT RUSHMORE RD",
            "address_2": "STE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-341-7500",
            "fax_number": "605-341-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HILLS HEALTH AND WELLNESS CENTER OF RAPID CI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "BIBERDORF",
        "authorized_official_first_name": "JOSH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "605-341-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.