Steven Headrick, D.C., DABCO
Individual provider Active NPI Chiropractor · Flandreau, SD
NPI 1275715435 · NPPES record last updated Sep 22, 2009
Key facts
- NPI
- 1275715435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 587 (SD)
- Practice address
- 109 E 2ND Ave
Flandreau, SD 57028-1222 - Phone
- (605) 997-3733
- NPI assigned
- Nov 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 587 | SD | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Steven L. Headrick, P.C. | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 587 | SD | Yes |
| Orthopedic Chiropractor | 111NX0800X | 587 | SD |
Addresses
Primary practice location
109 E 2ND Ave
Flandreau, SD 57028-1222
Mailing address
109 E 2ND Ave
Flandreau, SD 57028-1222
Phone (605) 997-3733
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7600752 | Medicaid | SD | |
| 2C985HE | Other | MN | BCBSMN |
| P00740093 | Other | SD | RR MEDICARE PTAN |
| 46-0461355 | Other | SD | FED TAX ID |
| DP2373 | Other | SD | RR MEDICARE GROUP PTAN |
Other providers in Flandreau, SD
- Flandreau Santee Sioux Tribe
- Flandreau Santee Sioux Tribe
- Flandreau School District #50-3
- Elisabetta Giomo-James
- Greenleaf Assisted Living, Inc.
- Heinemann & Heinemann
- Leslie James Heinemann
- Jay-Med Inc.
- Cynthia Marie Johanson
- Gina Teresa Johanson
All providers in Flandreau, 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 Sep 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.