Organization Active NPI

Toben Chiropractic Prof LLC

  • Chiropractor
  • Clear Lake, SD
National Provider Identifier
1184055840
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1241 Issued in SD
Legal business name
TOBEN CHIROPRACTIC PROF LLC
Practice address
409 3Rd Ave S
Clear Lake, SD 57226-0675
Phone
(605) 874-2601
Fax
(605) 874-1363
NPI assigned
Dec 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Authorized official

Name
Dr. Ross Toben, D.C.NPI 1568893501
Title
Sole Member
Phone
(605) 874-2951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1241 SD Primary

Addresses

Primary practice location

409 3Rd Ave S
Clear Lake, SD 57226-0675

Mailing address

PO Box 675
Clear Lake, SD 57226-0675
Phone (605) 874-2951

Other names 1

  • Toben Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240729000647 AL Part B Supplier - Clinic/Group Practice 0941430482 Receives reassigned benefits from 1 practitioner
Practice locations: Northport, AL

National Provider Directory

National Provider Directory

Locations

46 McFarland Blvd
Ste 2
Northport, AL 35476
Phone (605) 880-3501

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1184055840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 675",
            "city": "CLEAR LAKE",
            "state": "SD",
            "postal_code": "572260675",
            "telephone_number": "605-874-2951",
            "fax_number": "605-874-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 3RD AVE S",
            "city": "CLEAR LAKE",
            "state": "SD",
            "postal_code": "572260675",
            "telephone_number": "605-874-2601",
            "fax_number": "605-874-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOBEN CHIROPRACTIC PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "TOBEN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "605-874-2951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toben Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clear Lake, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.