Organization Active NPI

Moveology 605

  • Multi-Specialty Clinic/Center
  • Sioux Falls, SD
National Provider Identifier
1184359820
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MOVEOLOGY 605
Practice address
522 N Main Ave Ste 101
Sioux Falls, SD 57104-5916
Phone
(605) 271-3578
NPI assigned
Jul 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Dr. Paul Joseph Puetz, DCNPI 1306918354
Title
Owner
Phone
(605) 271-3578

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

522 N Main Ave Ste 101
Sioux Falls, SD 57104-5916

Mailing address

522 N Main Ave Ste 101
Sioux Falls, SD 57104-5916
Phone (605) 271-3578

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221003001586 SD Part B Supplier - Clinic/Group Practice 5991181729 Receives reassigned benefits from 2 practitioners
Practice locations: Sioux Falls, SD

National Provider Directory

National Provider Directory

Locations

111 W 39th St
Sioux Falls, SD 57105
Phone (605) 271-3578

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": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1184359820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N MAIN AVE STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045916",
            "telephone_number": "605-271-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N MAIN AVE STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045916",
            "telephone_number": "605-271-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVEOLOGY 605",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "PUETZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-271-3578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.