Leah Meyer Thielen, DC
Individual provider Active NPI Chiropractor · Sisseton, SD
NPI 1164595138 · NPPES record last updated Jul 16, 2024
Key facts
- NPI
- 1164595138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 702 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040227001017 | SD | Practitioner - Chiropractic | 1557255684 |
Receives reassigned benefits from 1 practitioner Practice locations: Sisseton, SD |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Backman Chiropractic, PLLC | Chiropractor | Current |
Accepting new patients |
Locations
702 Highway 75 S
Wheaton, MN 56296
Phone (320) 563-4130
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2179 | MN | |
| Chiropractor | 111N00000X | 702 | SD | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410130 | Other | MEDICA | |
| 12610 | Other | ND | MEDICAID |
| 9003 | Other | HEALTH SERVICE MGR | |
| 23430 | Other | SD | SIOUX VALLEY HEALTH |
| 3C879TH | Other | MN | BLUECROSS BLUESHIELD |
| 150828800 | Other | MN | MEDICAL ASSISTANCE |
| 7602732 | Medicaid | SD | |
| 0003415 | Other | SD | BLUECROSS BLUESHIELD |
Other providers in Sisseton, SD
- Peter Thomas Steinken
- Steven Robert Studzinski
- Jennifer Rose Swiney
- Tandem Healthcare Inc.
- Tekakwitha Nursing Center Inc
- Paul William Thielen
- Mary Jo Thoennes
- Nathan Tiedeman
- Sherryl J. Tomboulian
- US Dept of Health & Human Services
All providers in Sisseton, 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 Jul 16, 2024. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.