Individual provider Active NPI

Wayne Robert Huber Jr., D.C, C.C.S.P

  • Sports Physician Chiropractor
  • Tea, SD
National Provider Identifier
1194790568
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
SD935 Issued in SD
Practice address
725 E Figzel CT
#104
Tea, SD 57064-2276
Phone
(605) 498-5100
Fax
(605) 498-5101
NPI assigned
Feb 21, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X SD935 SD Primary

Addresses

Primary practice location

725 E Figzel CT
#104
Tea, SD 57064-2276

Mailing address

725 E Figzel CT
#104
Tea, SD 57064-2276
Phone (605) 498-5100

Other identifiers 1

IdentifierTypeStateIssuer
7604660MedicaidSD

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
SD935SDMDSports Physician Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194790568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E FIGZEL CT",
            "address_2": "#104",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570642276",
            "telephone_number": "605-498-5100",
            "fax_number": "605-498-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E FIGZEL CT",
            "address_2": "#104",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570642276",
            "telephone_number": "605-498-5100",
            "fax_number": "605-498-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "WAYNE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C, C.C.S.P",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "SD",
            "license": "SD935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7604660",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tea, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.