Individual provider Active NPI

Alan J Geffre, D.C.

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1447360839
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
853 Issued in SD
Practice address
1707 E 10TH St
Sioux Falls, SD 57103-1805
Phone
(605) 338-8122
Fax
(605) 332-6337
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 853 SD Primary

Addresses

Primary practice location

1707 E 10TH St
Sioux Falls, SD 57103-1805

Mailing address

3012 S Patrick PL
Sioux Falls, SD 57105-5935
Phone (605) 351-1669

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041229000466 SD Practitioner - Chiropractic 2365400942 Practice locations: Sioux Falls, SD

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1707 E 10TH St
Sioux Falls, SD 57103-1805
Phone (605) 338-8122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447360839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 S PATRICK PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055935",
            "telephone_number": "605-351-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 E 10TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571031805",
            "telephone_number": "605-338-8122",
            "fax_number": "605-332-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEFFRE",
        "first_name": "ALAN",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "853",
            "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 Jul 8, 2007; 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.