NPIMap

Organization Active NPI

Odland Chiropractic Clinic PC

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1306028667
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ODLAND CHIROPRACTIC CLINIC PC
Practice address
3600 S Marion Rd
Suite 101
Sioux Falls, SD 57106-1349
Phone
(605) 361-2500
Fax
(605) 362-1930
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Authorized official

Name
Mr. Rick D Odland, DCNPI 1013069947
Title
President of Corporation
Phone
(605) 361-2500

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

3600 S Marion Rd
Suite 101
Sioux Falls, SD 57106-1349

Mailing address

3600 S Marion Rd
Suite 101
Sioux Falls, SD 57106-1349
Phone (605) 361-2500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080221000004 SD Part B Supplier - Clinic/Group Practice 7810071438 Receives reassigned benefits from 3 practitioners
Practice locations: Sioux Falls, SD

National Provider Directory

National Provider Directory

Locations

3600 S Marion Rd
Ste 101
Sioux Falls, SD 57106
Phone (605) 361-2500

3600 S Marion Rd
Sioux Falls, SD 57106
Phone (605) 361-2500

Practitioners & affiliated clinicians

Practitioners 4

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": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1306028667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 S MARION RD",
            "address_2": "SUITE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061349",
            "telephone_number": "605-361-2500",
            "fax_number": "605-362-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S MARION RD",
            "address_2": "SUITE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061349",
            "telephone_number": "605-361-2500",
            "fax_number": "605-362-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODLAND CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "ODLAND",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "605-361-2500",
        "authorized_official_name_prefix": "Mr.",
        "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 Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.