Individual provider Active NPI

Alyssa Kay Oltmanns, DC

  • Chiropractor
  • Spearfish, SD
National Provider Identifier
1275356941
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1492 Issued in SD
Practice address
747 N Ames St Ste 1
Spearfish, SD 57783-1975
Phone
(605) 717-9314
NPI assigned
Nov 1, 2024
Last updated
Nov 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1492 SD Primary

Addresses

Primary practice location

747 N Ames St Ste 1
Spearfish, SD 57783-1975

Mailing address

615 N 27TH St
Spearfish, SD 57783-9796
Phone (701) 690-7027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241226003085 SD Practitioner - Chiropractic 0244767507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

747 N Ames St
Suite 1
Spearfish, SD 57783-1975
Phone (605) 717-9314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1492SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alyssa Oltmanns DC PC Chiropractor CurrentSince Dec 2, 2024 Accepting new patients

Locations

747 N Ames St
Ste 1
Spearfish, SD 57783
Phone (605) 717-9314

Organizations & group practices 1

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": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1275356941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N 27TH ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577839796",
            "telephone_number": "701-690-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 N AMES ST STE 1",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831975",
            "telephone_number": "605-717-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLTMANNS",
        "first_name": "ALYSSA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.