Individual provider Active NPI

Rylan John Dale Pearson, DC

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1417526468
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1414 Issued in SD
Practice address
5048 E 57TH St Ste a
Sioux Falls, SD 57108-8795
Phone
(605) 359-0679
NPI assigned
Jun 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1414 SD Primary

Addresses

Primary practice location

5048 E 57TH St Ste a
Sioux Falls, SD 57108-8795

Mailing address

5048 E 57TH St Ste a
Sioux Falls, SD 57108-8795
Phone (605) 359-0679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Pearson Holdings LLC Chiropractor CurrentSince Jun 27, 2021 Accepting new patients

Locations

5048 E 57th St
Ste A
Sioux Falls, SD 57108
Phone (605) 222-5081

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1417526468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5048 E 57TH ST STE A",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088795",
            "telephone_number": "605-359-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5048 E 57TH ST STE A",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088795",
            "telephone_number": "605-359-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "RYLAN",
        "middle_name": "JOHN DALE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.