Organization Active NPI

Axiom Chiropractic PC

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1255697165
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1175 Issued in SD
Legal business name
AXIOM CHIROPRACTIC PC
Practice address
2203 W 49TH St
Sioux Falls, SD 57105-6551
Phone
(605) 275-2010
Fax
(605) 275-2040
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Dr. Justin G Wubben, D.C.
Title
President/Secretary/Treasurer
Phone
(605) 275-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1175 SD Primary

Addresses

Primary practice location

2203 W 49TH St
Sioux Falls, SD 57105-6551

Mailing address

2203 W 49TH St
Sioux Falls, SD 57105-6551
Phone (605) 275-2010

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1255697165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 W 49TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056551",
            "telephone_number": "605-275-2010",
            "fax_number": "605-275-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W 49TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056551",
            "telephone_number": "605-275-2010",
            "fax_number": "605-275-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOM CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "WUBBEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY/TREASURER",
        "authorized_official_telephone_number": "605-275-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1175",
            "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 Apr 4, 2012; 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.