Dynamic Chiropractic Prof LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DYNAMIC CHIROPRACTIC PROF LLC

Practice address

310 E Main St
Parkston, SD 57366

Phone

(605) 928-5000

NPI assigned

Feb 6, 2019

Last updated

May 26, 2019By 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. Lindsey M Sivertsen, DCNPI 1154752640

Title

Doctor, Manager, Owner

Phone

(605) 661-9639

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Lindsey Marie Sivertsen, D.C.

  • Chiropractor
  • Tyndall, SD
  • NPI 1154752640
  Medicare reassignment NPD Authorized official
• Macy Toelle

  • Chiropractor
  • Parkston, SD
  • NPI 1013674308
  NPD (past)

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558828800000",
    "number": "1255896072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "PARKSTON",
            "state": "SD",
            "postal_code": "573660417",
            "telephone_number": "605-661-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E MAIN ST",
            "city": "PARKSTON",
            "state": "SD",
            "postal_code": "57366",
            "telephone_number": "605-928-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CHIROPRACTIC PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-05-26",
        "status": "A",
        "authorized_official_last_name": "SIVERTSEN",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR, MANAGER, OWNER",
        "authorized_official_telephone_number": "605-661-9639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154752640",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2019; 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.