Individual provider Active NPI

Leah Meyer Thielen, DC

  • Chiropractor
  • Sisseton, SD
National Provider Identifier
1164595138
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
702 Issued in SD
Practice address
1920 South Dakota Hwy 10
Thielen Chiropractic Clinic
Sisseton, SD 57262-2512
Phone
(605) 698-3522
Fax
(605) 698-4465
NPI assigned
Nov 16, 2006
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2179 MN
Chiropractor 111N00000X 702 SD Primary

Addresses

Primary practice location

1920 South Dakota Hwy 10
Thielen Chiropractic Clinic
Sisseton, SD 57262-2512

Mailing address

1920 South Dakota Hwy 10
Sisseton, SD 57262-2512
Phone (605) 698-3522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040227001017 SD Practitioner - Chiropractic 1557255684 Receives reassigned benefits from 1 practitioner
Practice locations: Sisseton, SD

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1920 SD Hwy 10
Sisseton, SD 57262-2512

1920 SD Hwy 10
Sisseton, SD 57262-2529
Phone (605) 698-3522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Backman Chiropractic, PLLC Chiropractor CurrentSince Apr 23, 2023 Accepting new patients

Locations

702 Highway 75 S
Wheaton, MN 56296
Phone (320) 563-4130

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.

Organizations & group practices 2

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1164595138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 SOUTH DAKOTA HWY 10",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572622512",
            "telephone_number": "605-698-3522",
            "fax_number": "605-698-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 SOUTH DAKOTA HWY 10",
            "address_2": "THIELEN CHIROPRACTIC CLINIC",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572622512",
            "telephone_number": "605-698-3522",
            "fax_number": "605-698-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELEN",
        "first_name": "LEAH",
        "middle_name": "MEYER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2179",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sisseton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.