Individual provider Active NPI

Ross Jon Deboer, D.C.

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1225037872
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1230 Issued in SD
Practice address
5132 S Cliff Ave
Suite 4
Sioux Falls, SD 57108-5437
Phone
(605) 275-2244
NPI assigned
Jul 16, 2005
Last updated
Jul 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1230 SD Primary

Addresses

Primary practice location

5132 S Cliff Ave
Suite 4
Sioux Falls, SD 57108-5437

Mailing address

5132 S Cliff Ave
Suite 4
Sioux Falls, SD 57108-5437
Phone (605) 275-2244

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

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Chiropractic Inc Chiropractor Past Accepting new patients
Bowman Chiropractic Associates PC Chiropractor PastSince Jan 1, 2004 Accepting new patients
Red Rock Chiropractic Center PC Chiropractor PastSince Apr 30, 2003 Accepting new patients
Hassel Family Chiropractic DCPC Chiropractor PastSince Aug 7, 2006 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1225037872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5132 S CLIFF AVE",
            "address_2": "SUITE 4",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085437",
            "telephone_number": "605-275-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5132 S CLIFF AVE",
            "address_2": "SUITE 4",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085437",
            "telephone_number": "605-275-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBOER",
        "first_name": "ROSS",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-16",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1230",
            "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 2, 2014; 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.