Plains Edge Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1271 Issued in SD

Legal business name

PLAINS EDGE CHIROPRACTIC, INC.

Practice address

12 6TH Ave SW
Aberdeen, SD 57401-4148

Phone

(605) 262-0303

NPI assigned

Jun 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Johnson, D.C.NPI 1013398494

Title

Owner

Phone

(605) 262-0303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 1

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

• Andrew L Johnson, D.C.

  • Chiropractor
  • Aberdeen, SD
  • NPI 1013398494
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1434240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1487035655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 6TH AVE SW",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014148",
            "telephone_number": "605-262-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 6TH AVE SW",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014148",
            "telephone_number": "605-262-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINS EDGE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-14",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-262-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Petkac, PHARMD
• Erica Pfaff, DPT
• Susan L Pfeiffer-Hanson, PA-C
• Dustin Pickrel
• Russell C Pietz, MD
• Brianna Lynn Podoll
• Troy Podoll, HAD
• Donald Pollard Jr., DDS
• Jamie Portra, SLP
• Prairie Dermatology PC

• Chiropractor in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.