Black Hills Health and Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

994 Issued in SD

Legal business name

BLACK HILLS HEALTH AND WELLNESS CENTER

Practice address

112 N 2ND Ave W
Faith, SD 57626-0000

Phone

(605) 341-7500

Fax

(605) 341-7500

NPI assigned

Mar 22, 2012

Organization subpart

Yes

Parent organization

BLACK HILLS HEALTH AND WELLNESS CENTERAs reported in NPPES

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

Authorized official

Name

Tina Morford

Title

Chiropractic Assistant Billing Mana

Phone

(605) 341-7500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Black Hills Health and Wellness Center of Faith Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Black Hills Health & Wellness Dba Cascade Chiropractic

  • Chiropractor
  • Hot Springs, SD
  • NPI 1689823908

  O20040109000258

  Same enrollment
• Black Hills Health and Wellness Center of Rapid Ci

  • Chiropractor
  • Rapid City, SD
  • NPI 1164590758

  O20040109000258

  Same enrollment

Part of

Black Hills HLTH Wellness

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Cook, DC

  • Chiropractor
  • Rapid City, SD
  • NPI 1417563172
  NPD
• Jayme George Scherr, D.C.

  • Chiropractor
  • Rapid City, SD
  • NPI 1174708507
  NPD

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1376819409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MT RUSHMORE RD",
            "address_2": "SUITE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018264",
            "telephone_number": "605-341-7500",
            "fax_number": "605-341-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N 2ND AVE W",
            "city": "FAITH",
            "state": "SD",
            "postal_code": "576260000",
            "telephone_number": "605-341-7500",
            "fax_number": "605-341-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HILLS HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLACK HILLS HEALTH AND WELLNESS CENTER",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "MORFORD",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CHIROPRACTIC ASSISTANT BILLING MANA",
        "authorized_official_telephone_number": "605-341-7500"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0004738",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Hills Health and Wellness Center of Faith",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Branches of the Vine
• Alanna R Chapman, PA-C
• Cheyenne River Sioux Tribe
• City of Faith
• Community Pharmacies Inc.

• Chiropractor in Faith, SD
• Providers in Faith, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.