Organization Active NPI

Pascoe Chiropractic, Prof LLC

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1306173729
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1155 Issued in SD
Legal business name
PASCOE CHIROPRACTIC, PROF LLC
Practice address
515 S Cliff Ave
Sioux Falls, SD 57104-5356
Phone
(605) 274-6436
Fax
(605) 275-4111
NPI assigned
Nov 5, 2009
Last updated
Nov 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Dr. Angela Marie Pascoe, D.C.NPI 1780919563
Title
Chiropractor
Phone
(563) 340-9163

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
Chiropractor 111N00000X 1155 SD Primary

Addresses

Primary practice location

515 S Cliff Ave
Sioux Falls, SD 57104-5356

Mailing address

515 S Cliff Ave
Sioux Falls, SD 57104-5356
Phone (605) 274-6436

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100217000845 SD Part B Supplier - Clinic/Group Practice 7517001357 Receives reassigned benefits from 1 practitioner
Practice locations: Sioux Falls, SD

National Provider Directory

National Provider Directory

Locations

2101 W 41st St
Ste 4
Sioux Falls, SD 57105
Phone (605) 271-4109

515 S Cliff Ave
Sioux Falls, SD 57104
Phone (605) 274-6436

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1306173729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S CLIFF AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045356",
            "telephone_number": "605-274-6436",
            "fax_number": "605-275-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S CLIFF AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045356",
            "telephone_number": "605-274-6436",
            "fax_number": "605-275-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASCOE CHIROPRACTIC, PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "PASCOE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "563-340-9163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1155",
            "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 Nov 5, 2009; 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.