Jade D Larson, D.C.
Individual provider Active NPI Chiropractor · Belle Fourche, SD
NPI 1245637883 · NPPES record last updated Nov 25, 2014
Key facts
- NPI
- 1245637883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1265 (SD)
- Practice address
- 1515 5TH Ave Ste 101
Belle Fourche, SD 57717-6032 - Phone
- (605) 892-4845
- NPI assigned
- Nov 25, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4925 E 26TH St
Sioux Falls, SD 57110-6950
Phone (605) 575-3973
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141210001156 | SD | Practitioner - Chiropractic | 9537481114 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1265 | SD | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Falls Edge Chiropractic | Chiropractor | Current |
Accepting new patients |
Locations
4925 E 26th St
Sioux Falls, SD 57110
Phone (605) 334-7371
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1265 | SD | Yes |
Addresses
Primary practice location
1515 5TH Ave Ste 101
Belle Fourche, SD 57717-6032
Mailing address
1515 5TH Ave Ste 101
Belle Fourche, SD 57717-6032
Other providers in Belle Fourche, SD
- Jennifer Joann Karp
- William Skyler Kirk
- Jonathan G Krum
- Vanessa Kudlock
- Douglas J. Larson
- Lotus Health SD
- Abigail Schumaker Marek
- Maverick Health Care, Prof. LLC
- Jade Pearl McGrane
- Brittney McGraw
All providers in Belle Fourche, SD · Chiropractor in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.