Organization Active NPI

Swat Chiropractic & Rehab Inc.

  • Chiropractor
  • Yankton, SD
National Provider Identifier
1184213209
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SWAT CHIROPRACTIC & REHAB INC.
Practice address
800 Mariner LN Ste 103
Yankton, SD 57078-6848
Phone
(605) 661-3639
NPI assigned
Jan 13, 2021
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Lane Sawatzke, DCNPI 1497343883
Title
President
Phone
(605) 661-3639

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

800 Mariner LN Ste 103
Yankton, SD 57078-6848

Mailing address

2102 Valley Rd
Yankton, SD 57078-4901
Phone (605) 661-3639

Other identifiers 1

IdentifierTypeStateIssuer
1497343883MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210310002977 SD Part B Supplier - Clinic/Group Practice 3375959638 Receives reassigned benefits from 3 practitioners
Practice locations: Yankton, SD

National Provider Directory

National Provider Directory

Locations

2000 Summit St
Yankton, SD 57078
Phone (605) 204-5318

800 Mariner Ln
Ste 103
Yankton, SD 57078
Phone (605) 661-3639

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1184213209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 VALLEY RD",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784901",
            "telephone_number": "605-661-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MARINER LN STE 103",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570786848",
            "telephone_number": "605-661-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAT CHIROPRACTIC & REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "SAWATZKE",
        "authorized_official_first_name": "LANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-661-3639",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497343883",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.