Organization Active NPI

Hungerford Chiropractic PC

  • Chiropractor
  • Brookings, SD
National Provider Identifier
1356510812
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
879 SD Issued in SD
Legal business name
HUNGERFORD CHIROPRACTIC PC
Practice address
2218 Derdall Dr
Brookings, SD 57006-2851
Phone
(605) 697-5145
Fax
(605) 697-5135
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Chad Jason Hungerford, DCNPI 1083771083
Title
President
Phone
(605) 697-5145

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 879 SD SD Primary

Addresses

Primary practice location

2218 Derdall Dr
Brookings, SD 57006-2851

Mailing address

2218 Derdall Dr
Brookings, SD 57006-2851
Phone (605) 697-5145

Other identifiers 3

IdentifierTypeStateIssuer
4245OtherSDSANFORD HEALTH PLAN
600095OtherSDMEDICA
C879OtherSDDAKOTACARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080828000585 SD Part B Supplier - Clinic/Group Practice 6103992011 Receives reassigned benefits from 4 practitioners
Practice locations: Brookings, SD

National Provider Directory

National Provider Directory

Locations

2218 Derdall Dr
Brookings, SD 57006
Phone (605) 271-7690

Practitioners & affiliated clinicians

Practitioners 5

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": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1356510812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 DERDALL DR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062851",
            "telephone_number": "605-697-5145",
            "fax_number": "605-697-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 DERDALL DR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062851",
            "telephone_number": "605-697-5145",
            "fax_number": "605-697-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNGERFORD CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "HUNGERFORD",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-697-5145",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "879 SD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFORD HEALTH PLAN",
            "identifier": "4245",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "600095",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "C879",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.