Parkston Chiropractic Clinic, Prof. L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

999 Issued in SD

Legal business name

PARKSTON CHIROPRACTIC CLINIC, PROF. L.L.C.

Practice address

103 West Glynn Drive
Parkston, SD 57366

Phone

(605) 928-7777

Fax

(605) 928-1477

NPI assigned

Jul 12, 2006

Last updated

Mar 9, 2015By 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. Jessica Ann Wolf, DCNPI 1912990565

Title

Chiropractor

Phone

(605) 928-7777

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Practitioners 1

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.

• Jessica Ann Wolf, DC

  • Chiropractor
  • Parkston, SD
  • NPI 1912990565
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1285659466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 815",
            "city": "PARKSTON",
            "state": "SD",
            "postal_code": "573660815",
            "telephone_number": "605-928-7777",
            "fax_number": "605-928-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WEST GLYNN DRIVE",
            "city": "PARKSTON",
            "state": "SD",
            "postal_code": "57366",
            "telephone_number": "605-928-7777",
            "fax_number": "605-928-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSTON CHIROPRACTIC CLINIC, PROF. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "605-928-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "9238339",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise A Leischner, PT
• Vicki Lubbers, CNP
• Kerri Lutjens, CNP
• Payton Robert Monson, ATS
• Thomas Herman Neumayr, R.PH.
• Parkston Drug Inc
• Parkston Rural Ambulance District
• Parkston School District
• Michele L Peitz, PA-C
• Schylar Powers

• 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 Mar 9, 2015; 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.