Individual provider Active NPI

Michael Babcock

  • Chiropractor
  • Aberdeen, SD
National Provider Identifier
1396101309
Registry record updated Oct 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1280 Issued in SD
Practice address
221 6TH Ave SE
Aberdeen, SD 57401-4362
Phone
(605) 229-1212
Fax
(605) 229-4440
NPI assigned
Jan 6, 2016
Last updated
Oct 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1280 SD Primary

Addresses

Primary practice location

221 6TH Ave SE
Aberdeen, SD 57401-4362

Mailing address

221 6TH Ave SE
Ste 1
Aberdeen, SD 57401-4326
Phone (605) 229-1212

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160328000823 SD Practitioner - Chiropractic 3375840903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Babcock Family Chiropractic, LLCGroup PAC ID 6103197140, 3 clinicians

Practice addresses (Care Compare)

117 1St Ave W
Suite a
Clark, SD 57225-1605
Phone (605) 532-3360

221 6TH Ave SE
Suite 1
Aberdeen, SD 57401-4326
Phone (605) 229-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Babcock Family Chiropractic, LLC Chiropractor CurrentSince Jan 12, 2017 Accepting new patients
Clark Family Chiropractic, LLC Chiropractor CurrentSince Nov 8, 2016 Accepting new patients

Locations

221 6th Ave SE
Ste 1
Aberdeen, SD 57401
Phone (605) 229-1212

117 1st Ave W
Ste A
Clark, SD 57225
Phone (605) 532-3360

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": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1396101309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 6TH AVE SE",
            "address_2": "STE 1",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014326",
            "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",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014362",
            "telephone_number": "605-229-1212",
            "fax_number": "605-229-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-06",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.