Child and Adolescent Neurology Prof LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

CHILD AND ADOLESCENT NEUROLOGY PROF LLC

Practice address

117 W 39TH St
Sioux Falls, SD 57105-5732

Phone

(605) 334-8000

Fax

(605) 334-8001

NPI assigned

Aug 25, 2009

Organization subpart

No

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

Authorized official

Name

Jorge D Sanchez, MD

Title

Owner

Phone

(605) 334-8000

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1467685461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89432",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571099432",
            "telephone_number": "605-334-8000",
            "fax_number": "605-334-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W 39TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055732",
            "telephone_number": "605-334-8000",
            "fax_number": "605-334-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND ADOLESCENT NEUROLOGY PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-334-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025804700",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15135",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen S Chesley, LCSW-PIP
• Maurice Allen Dale Chessmore, MD
• Heather Kay Chester Adam, M.D.
• Darren Chester, M.D.
• Elizabeth Chen Chiang, MD, PHD
• Children'S Acute Care PC
• Children'S Care Hospital and School
• Children'S Care Hospital and School
• Children'S Care Hospital and School
• Children'S Care Hospital and School

• Neurology Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Neurology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.