Individual provider Active NPI

John Patrick Chaney, DC

  • Chiropractor
  • Central City, SD
National Provider Identifier
1174596340
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
834 Issued in SD
Practice address
136A US Highway 14a
Central City, SD 57754-2054
Phone
(605) 584-1500
Fax
(605) 722-1188
NPI assigned
Feb 8, 2006
Last updated
Jul 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 834 SD Primary

Addresses

Primary practice location

136A US Highway 14a
Central City, SD 57754-2054

Mailing address

136A US Highway 14a
Central City, SD 57754-2054
Phone (605) 584-1500

Other identifiers 2

IdentifierTypeStateIssuer
4996002OtherSDWELLMARK
834OtherSDSD CHIROPRACTORS LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
834SDMDChiropractor

Organizations & group practices 1

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1174596340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136A US HIGHWAY 14A",
            "city": "CENTRAL CITY",
            "state": "SD",
            "postal_code": "577542054",
            "telephone_number": "605-584-1500",
            "fax_number": "605-722-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136A US HIGHWAY 14A",
            "city": "CENTRAL CITY",
            "state": "SD",
            "postal_code": "577542054",
            "telephone_number": "605-584-1500",
            "fax_number": "605-722-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "4996002",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD CHIROPRACTORS LICENSE",
            "identifier": "834",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Central City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.