Organization Active NPI

Alyssa Oltmanns DC PC

  • Chiropractor
  • Spearfish, SD
National Provider Identifier
1437973732
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ALYSSA OLTMANNS DC PC
Practice address
747 N Ames St Ste 1
Spearfish, SD 57783-1975
Phone
(605) 717-9314
NPI assigned
Nov 13, 2024
Last updated
Dec 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Dr. Alyssa Kay Oltmanns, DCNPI 1275356941
Title
President
Phone
(701) 690-7027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

747 N Ames St Ste 1
Spearfish, SD 57783-1975

Mailing address

615 N 27TH St
Spearfish, SD 57783-9796
Phone (701) 690-7027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241120004381 SD Part B Supplier - Clinic/Group Practice 5597290007 Receives reassigned benefits from 1 practitioner
Practice locations: Spearfish, SD

National Provider Directory

National Provider Directory

Locations

747 N Ames St
Ste 1
Spearfish, SD 57783
Phone (605) 717-9314

Practitioners & affiliated clinicians

Practitioners 2

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": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1437973732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 N 27TH ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577839796",
            "telephone_number": "701-690-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 N AMES ST STE 1",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831975",
            "telephone_number": "605-717-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALYSSA OLTMANNS DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "OLTMANNS",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-690-7027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.