Organization Active NPI

Murray Chiropractic Clinic Inc

  • Chiropractor
  • Brookings, SD
National Provider Identifier
1457672255
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
708 Issued in SD
Legal business name
MURRAY CHIROPRACTIC CLINIC INC
Practice address
750 22ND Ave S
Brookings, SD 57006-2822
Phone
(605) 697-5090
Fax
(605) 697-5090
NPI assigned
Jun 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Mrs. Joanna L. Mertz, CA
Title
Clinic Coordinator
Phone
(605) 697-5090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 708 SD Primary

Addresses

Primary practice location

750 22ND Ave S
Brookings, SD 57006-2822

Mailing address

750 22ND Ave S
Brookings, SD 57006-2822
Phone (605) 697-5090

Other identifiers 4

IdentifierTypeStateIssuer
3K028MUOtherMNBLUE CROSS BLUE SHIELD OF MN
0080133OtherSDWELLMARK BLUE CROSS BLUE SHIELD
CASD2OtherSDSANFORD
CASD1OtherSDDAKOTACARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140723000851 SD Part B Supplier - Clinic/Group Practice 5395961627 Receives reassigned benefits from 1 practitioner
Practice locations: Brookings, SD

National Provider Directory

National Provider Directory

Locations

750 22nd Ave S
Brookings, SD 57006
Phone (605) 697-5090

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1457672255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 22ND AVE S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062822",
            "telephone_number": "605-697-5090",
            "fax_number": "605-697-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 22ND AVE S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062822",
            "telephone_number": "605-697-5090",
            "fax_number": "605-697-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRAY CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "MERTZ",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CLINIC COORDINATOR",
        "authorized_official_telephone_number": "605-697-5090",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE  CROSS BLUE SHIELD OF MN",
            "identifier": "3K028MU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS BLUE SHIELD",
            "identifier": "0080133",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFORD",
            "identifier": "CASD2",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "CASD1",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.