NPIMap

Organization Active NPI

Back Specialists of the Midwest LLC

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1346345840
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
714 Issued in SD
Legal business name
BACK SPECIALISTS OF THE MIDWEST LLC
Practice address
5109 S Crossing PL
Ste 1
Sioux Falls, SD 57108-5076
Phone
(605) 361-1700
Fax
(605) 361-0113
NPI assigned
Sep 13, 2006
Last updated
Sep 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Dr. Bruce Jon Hagen, DCNPI 1952494445
Title
Owner
Phone
(605) 361-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 714 SD Primary
Physical Therapist 225100000X 1351 SD

Addresses

Primary practice location

5109 S Crossing PL
Ste 1
Sioux Falls, SD 57108-5076

Mailing address

5109 S Crossing PL
Ste 1
Sioux Falls, SD 57108-5076
Phone (605) 361-1700

National Provider Directory

National Provider Directory

Locations

2333 W 57th St
Ste 105
Sioux Falls, SD 57108
Phone (605) 361-1700

5109 S Crossing Pl
Ste 1
Sioux Falls, SD 57108
Phone (605) 361-1700

Practitioners & affiliated clinicians

Practitioners 4

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": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1346345840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 S CROSSING PL",
            "address_2": "STE 1",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085076",
            "telephone_number": "605-361-1700",
            "fax_number": "605-361-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 S CROSSING PL",
            "address_2": "STE 1",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085076",
            "telephone_number": "605-361-1700",
            "fax_number": "605-361-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK SPECIALISTS OF THE MIDWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-361-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "714",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1351",
            "primary": false
        }
    ],
    "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 Sep 28, 2015; 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.