Individual provider Active NPI

Rebecca Lynn Bear, D.C.

  • Chiropractor
  • Beresford, SD
National Provider Identifier
1346319910
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1044 Issued in SD
Practice address
201 NW 13TH St
Suite 3
Beresford, SD 57004-1545
Phone
(605) 763-8056
Fax
(605) 763-8057
NPI assigned
Nov 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1044 SD Primary

Addresses

Primary practice location

201 NW 13TH St
Suite 3
Beresford, SD 57004-1545

Mailing address

201 NW 13TH St
Suite 3
Beresford, SD 57004-1545
Phone (605) 763-8056

Other identifiers 8

IdentifierTypeStateIssuer
245125OtherSDMIDLAND'S CHOICE
38683OtherSDSIOUX VALLEY HEALTH PLAN
4995188OtherSDBLUE CROSS BLUE SHIELD
7601910MedicaidSD
C1044OtherSDDAKOTACARE
2352685OtherSDFEDERATED MUTUAL INS
671448OtherSDUNITED HEALTHCARE
4966OtherSDAVERA HEALTH PLANS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1044SDMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beresford Family Chiropractic Chiropractor CurrentSince Oct 13, 2019 Accepting new patients

Locations

504 N 16th St
Beresford, SD 57004
Phone (605) 763-8056

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346319910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NW 13TH ST",
            "address_2": "SUITE 3",
            "city": "BERESFORD",
            "state": "SD",
            "postal_code": "570041545",
            "telephone_number": "605-763-8056",
            "fax_number": "605-763-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NW 13TH ST",
            "address_2": "SUITE 3",
            "city": "BERESFORD",
            "state": "SD",
            "postal_code": "570041545",
            "telephone_number": "605-763-8056",
            "fax_number": "605-763-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAR",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLAND'S CHOICE",
            "identifier": "245125",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "38683",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4995188",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7601910",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "C1044",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERATED MUTUAL INS",
            "identifier": "2352685",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "671448",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA HEALTH PLANS",
            "identifier": "4966",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beresford, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.