Individual provider Active NPI

Dalton Kade McCollam, DC

  • Chiropractor
  • Rapid City, SD
National Provider Identifier
1487243986
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1386 Issued in SD
Practice address
1600 Mt View Rd Ste 102
Rapid City, SD 57702-4354
Phone
(605) 791-4030
NPI assigned
Jan 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1386 SD Primary

Addresses

Primary practice location

1600 Mt View Rd Ste 102
Rapid City, SD 57702-4354

Mailing address

1600 Mt View Rd Ste 102
Rapid City, SD 57702-4354
Phone (605) 791-4030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210201001445 SD Practitioner - Chiropractic 6406260561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt View Chiropractic PCGroup PAC ID 0446405831, 2 clinicians

Practice addresses (Care Compare)

1600 Mt View Rd
Suite 102
Rapid City, SD 57702-4354
Phone (605) 791-4030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mt. View Chiropractic P.C. Chiropractor CurrentSince Jan 5, 2021 Accepting new patients

Locations

1600 Mountain View Rd
Ste 102
Rapid City, SD 57702
Phone (605) 737-0767

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1487243986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MT VIEW RD STE 102",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024354",
            "telephone_number": "605-791-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MT VIEW RD STE 102",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024354",
            "telephone_number": "605-791-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLAM",
        "first_name": "DALTON",
        "middle_name": "KADE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1386",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 11, 2021; 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.