Organization Active NPI

My Chiropractic, Prof., LLC

  • Chiropractor
  • Brookings, SD
National Provider Identifier
1285198259
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MY CHIROPRACTIC, PROF., LLC
Practice address
3405 6TH St
Brookings, SD 57006-4417
Phone
(605) 693-3405
Fax
(605) 693-3404
NPI assigned
Jan 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Chad Michael Munsterman, DCNPI 1730107483
Title
Owner
Phone
(605) 693-3405

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3405 6TH St
Brookings, SD 57006-4417

Mailing address

3405 6TH St
Brookings, SD 57006-4417
Phone (605) 693-3405

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190621001025 SD Part B Supplier - Clinic/Group Practice 3072847276 Receives reassigned benefits from 2 practitioners
Practice locations: Brookings, SD

National Provider Directory

National Provider Directory

Locations

3405 6th St
Ste 2
Brookings, SD 57006

Practitioners & affiliated clinicians

Practitioners 2

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": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1285198259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 6TH ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570064417",
            "telephone_number": "605-693-3405",
            "fax_number": "605-693-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 6TH ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570064417",
            "telephone_number": "605-693-3405",
            "fax_number": "605-693-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CHIROPRACTIC, PROF., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "MUNSTERMAN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-693-3405",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.