Active NPI
Murray Chiropractic Clinic Inc
- Chiropractor
- Brookings, SD
National Provider Identifier
1457672255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 708
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3K028MU | Other | MN | BLUE CROSS BLUE SHIELD OF MN |
| 0080133 | Other | SD | WELLMARK BLUE CROSS BLUE SHIELD |
| CASD2 | Other | SD | SANFORD |
| CASD1 | Other | SD | DAKOTACARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Brookings, SD
- NPI 1396841573
-
- Chiropractor
- Brookings, SD
- NPI 1649333212
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.