Active NPI
Kleinjan Chiropractic, LLC
- Chiropractor
- Brookings, SD
National Provider Identifier
1174586887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- KLEINJAN CHIROPRACTIC, LLC
- Practice address
- 1204 Main Ave S
Brookings, SD 57006-3839 - Phone
- (605) 692-4325
- Fax
- (605) 301-4141
- NPI assigned
- Apr 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Holly J Schultz-Nelson
- Title
- Business Manager
- Phone
- (605) 692-4325
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Pediatric Chiropractor | 111NP0017X | |||
| Rehabilitation Chiropractor | 111NR0400X | |||
| Acupuncturist | 171100000X | |||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
1204 Main Ave S
Brookings, SD 57006-3839
Mailing address
1204 Main Ave S
Brookings, SD 57006-3839
Phone (605) 692-4325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7600564 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1204 Main Ave S
Brookings, SD 57006
Phone (605) 692-4325
126 Main Ave
Ste 103
Brookings, SD 57006
Phone (605) 692-4325
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Brookings, SD
- NPI 1477787174
-
- Physical Therapist
- Brookings, SD
- NPI 1891747721
-
- Chiropractor
- Brookings, SD
- NPI 1972567345
-
- Chiropractor
- Sturgis, SD
- NPI 1861724536
-
- Athletic Trainer
- Brookings, SD
- NPI 1750878138
-
- Chiropractor
- Bowman, ND
- NPI 1003097973
-
- Occupational Health Chiropractor
- Willmar, MN
- NPI 1710281282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553126400000",
"number": "1174586887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 MAIN AVE S",
"city": "BROOKINGS",
"state": "SD",
"postal_code": "570063839",
"telephone_number": "605-692-4325",
"fax_number": "605-692-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 MAIN AVE S",
"city": "BROOKINGS",
"state": "SD",
"postal_code": "570063839",
"telephone_number": "605-692-4325",
"fax_number": "605-301-4141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KLEINJAN CHIROPRACTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-11",
"last_updated": "2019-03-21",
"status": "A",
"authorized_official_last_name": "SCHULTZ-NELSON",
"authorized_official_first_name": "HOLLY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "605-692-4325"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "111NP0017X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7600564",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookings, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.