Individual provider Active NPI

Eric J Kuyper, D.C.

  • Chiropractor
  • Rapid City, SD
National Provider Identifier
1457465973
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
970 Issued in SD
Practice address
552 Kirkeby LN
Rapid City, SD 57702-2502
Phone
(605) 718-7312
Fax
(605) 718-9008
NPI assigned
Aug 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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 970 SD Primary

Addresses

Primary practice location

552 Kirkeby LN
Rapid City, SD 57702-2502

Mailing address

552 Kirkeby LN
Rapid City, SD 57702-2502
Phone (605) 718-7312

Other identifiers 1

IdentifierTypeStateIssuer
7601392MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120417000884 SD Practitioner - Chiropractic 9739174756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2024 Jackson Blvd
Rapid City, SD 57702-3481
Phone (605) 341-4850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Health Care Solutions of the Northern Hills, Prof. LLC Chiropractor CurrentSince Apr 2, 2015 Accepting new patients
Crisman Dixon & Associates, P.C. Past Accepting new patients

Locations

2024 Jackson Blvd
Rapid City, SD 57702
Phone (605) 341-4850

343 Quincy St
Ste 100
Rapid City, SD 57701
Phone (605) 341-4850

552 Kirkeby Ln
Rapid City, SD 57702
Phone (605) 718-7312

132 E Grant St
Spearfish, SD 57783
Phone (602) 722-2225

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457465973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 KIRKEBY LN",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022502",
            "telephone_number": "605-718-7312",
            "fax_number": "605-718-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 KIRKEBY LN",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022502",
            "telephone_number": "605-718-7312",
            "fax_number": "605-718-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUYPER",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7601392",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, 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.