NPIMap

Organization Active NPI

Mark a. Bledsoe

Doing business as Bledsoe Family Chiropractic Clinic

  • Chiropractor
  • Aberdeen, SD
National Provider Identifier
1376742080
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
659 Issued in SD
Legal business name
MARK A. BLEDSOE
Doing business as
Bledsoe Family Chiropractic Clinic
Practice address
221 6TH Ave SE
Suite 1
Aberdeen, SD 57401-4362
Phone
(605) 229-1212
Fax
(605) 229-4440
NPI assigned
Jul 12, 2007
Last updated
Mar 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Dr. Mark Allan Bledsoe, D.C.NPI 1790710796
Title
Chiropractor
Phone
(605) 229-1212

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 659 SD Primary

Addresses

Primary practice location

221 6TH Ave SE
Suite 1
Aberdeen, SD 57401-4362

Mailing address

221 6TH Ave SE
Suite 1
Aberdeen, SD 57401-4362
Phone (605) 229-1212

Other identifiers 1

IdentifierTypeStateIssuer
7600240MedicaidSD

Other names 1

  • Bledsoe Family Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1376742080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 6TH AVE SE",
            "address_2": "SUITE 1",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014362",
            "telephone_number": "605-229-1212",
            "fax_number": "605-229-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 6TH AVE SE",
            "address_2": "SUITE 1",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014362",
            "telephone_number": "605-229-1212",
            "fax_number": "605-229-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A. BLEDSOE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "BLEDSOE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "605-229-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7600240",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bledsoe Family Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.