Northern Peak Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NORTHERN PEAK CHIROPRACTIC LLC

Practice address

107 9TH Ave SE
Watertown, SD 57201-4843

Phone

(605) 878-0167

Fax

(605) 753-9080

NPI assigned

Jan 20, 2021

Last updated

Sep 10, 2026By 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. Bethany McMullenNPI 1821688219

Title

Owner

Phone

(605) 878-0167

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 2

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.

• Bethany McMullen, DC

  • Chiropractor
  • Watertown, SD
  • NPI 1821688219
  Medicare reassignment Care Compare group NPD Authorized official
• William Devon McMullen, DC

  • Chiropractor
  • Watertown, SD
  • NPI 1154911535
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1235729617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 9TH AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014843",
            "telephone_number": "605-878-0167",
            "fax_number": "605-753-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 9TH AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014843",
            "telephone_number": "605-878-0167",
            "fax_number": "605-753-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PEAK CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-878-0167",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jody Marie Niemann, OTR/L
• Roland Elroy Niewoehner, RPH
• Hollis D. Nipe, MD
• Northeast Orthodontic Associates. L.L.C.
• Northeast Physical Therapy Group, Inc.
• NRS Arizona, PA
• Miranda A Nygaard, PA
• Sierra Rae Ohm, DC
• Oien Family Chiropractic Clinic, LLC
• Douglas Olson, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.