Benjamin Axel Simonson, DC

Primary specialty

Radiology ChiropractorTaxonomy code 111NR0200X

License

1031 Issued in SD

Practice address

314 S Splitrock Blvd Ste 1
Brandon, SD 57005-1679

Phone

(605) 582-8825

Fax

(605) 582-8827

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Splitrock Chiropractic Center, LLC

  • Radiology Chiropractor
  • Brandon, SD
  • NPI 1497925069
  Medicare reassignment NPD
• Nokomis Chiropractic Center P.a.

  • Chiropractor
  • Minneapolis, MN
  • NPI 1851463475
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1346317807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S SPLITROCK BLVD STE 1",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051679",
            "telephone_number": "605-582-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S SPLITROCK BLVD STE 1",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051679",
            "telephone_number": "605-582-8825",
            "fax_number": "605-582-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONSON",
        "first_name": "BENJAMIN",
        "middle_name": "AXEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "SD",
            "license": "1031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Schuler
• Shawd NBD Brandon PC
• Shauna Shoultz
• Sieck Therapy
• Amanda Lee Sieck, LCSW
• Stephanie Sinclair
• Kelcey Smith, OTD, OTR/L
• Splitrock Chiropractic Center, LLC
• Tessa Steinmiller, SLP
• Blake Story, DPT

• Radiology Chiropractor in Brandon, SD
• Providers in Brandon, SD by specialty
• Radiology Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.