McKillip Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1133 Issued in SD

Legal business name

MCKILLIP CHIROPRACTIC PC

Doing business as

HealthSource of Brookings

Practice address

116 22ND Ave S
Brookings, SD 57006-2600

Phone

(605) 692-2251

Fax

(605) 692-2255

NPI assigned

Jul 1, 2008

Last updated

Jun 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Justin Wade McKillip, D.C.NPI 1407013394

Title

Owner/Operator

Phone

(605) 692-2251

Specialties & licenses 1

Addresses

Other names 1

• HealthSource of Brookings Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 8

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.

• Justin Wade McKillip, D.C.

  • Chiropractor
  • Brookings, SD
  • NPI 1407013394
  Medicare reassignment Care Compare group NPD Authorized official
• Luke James Holt, DC

  • Chiropractor
  • Brookings, SD
  • NPI 1235733882
  Medicare reassignment Care Compare group NPD
• Shane Michael Hartman, MPT

  • Physical Therapist
  • Huron, SD
  • NPI 1093728206
  NPD
• Paul Mark Acheson, DPT

  • Physical Therapist
  • Brookings, SD
  • NPI 1497002307
  NPD (past)
• Hunter Anshutz, DPT

  • Physical Therapist
  • Brookings, SD
  • NPI 1033662895
  NPD (past)
• Derek W Klatt, D.C.

  • Chiropractor
  • Harrisburg, SD
  • NPI 1932500816
  NPD (past)
• Heath Marsh, DC

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1194843813
  NPD (past)
• Timothy Scherschligt, MPT

  • Physical Therapist
  • Brookings, SD
  • NPI 1407811557
  NPD (past)

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1194987024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 6TH ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061606",
            "telephone_number": "605-692-2251",
            "fax_number": "605-692-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 22ND AVE S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062600",
            "telephone_number": "605-692-2251",
            "fax_number": "605-692-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKILLIP CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "MCKILLIP",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "605-692-2251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of Brookings",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthSource of Brookings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles E. McCullough, CPT
• Maryanna May McCullough, OTA
• Sarah McGill
• Victoria McGinnis
• Rose McGuire, LMT
• Justin Wade McKillip, D.C.
• Jessica McLaughlin, LPC-MH 2291
• Anne Marie McNally, DNP
• MD Bartley Opticians
• Shannon Medenwald, RD

• Chiropractor in Brookings, SD
• Providers in Brookings, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.