Justin Wade McKillip, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1133 Issued in SD

Practice address

116 22ND Ave S
Brookings, SD 57006-2600

Phone

(605) 692-2251

Fax

(605) 692-2255

NPI assigned

May 19, 2008

Last updated

Jun 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern University Feinberg Medical School, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McKillip Chiropractic PCGroup PAC ID 7911072277, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• McKillip Chiropractic PC

  dba HealthSource of Brookings

  • Chiropractor
  • Brookings, SD
  • NPI 1194987024
  Medicare reassignment Care Compare group NPD Authorized official
• Pro PT, Inc.

  • Physical Therapist
  • Brookings, SD
  • NPI 1053414235
  NPD

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1407013394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 22ND AVE S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062600",
            "telephone_number": "605-692-2251",
            "fax_number": "605-692-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 22ND AVE S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062600",
            "telephone_number": "605-692-2251",
            "fax_number": "605-692-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKILLIP",
        "first_name": "JUSTIN",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7605010",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryanna May McCullough, OTA
• Sarah McGill
• Victoria McGinnis
• Rose McGuire, LMT
• McKillip Chiropractic PC (HealthSource of Brookings)
• Jessica McLaughlin, LPC-MH 2291
• Anne Marie McNally, DNP
• MD Bartley Opticians
• Shannon Medenwald, RD
• Wyatt J Meendering, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.