Brittany Ann Jackson Grueb, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1262 Issued in SD

Practice address

1107 Mt Rushmore Rd
Ste 2
Rapid City, SD 57701-3619

Phone

(605) 341-9100

Fax

(605) 341-9200

NPI assigned

Nov 7, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Brittany Ann Jackson Former name

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631404800000",
    "number": "1497151153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 MT RUSHMORE RD",
            "address_2": "STE 2",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013619",
            "telephone_number": "605-341-9100",
            "fax_number": "605-341-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 MT RUSHMORE RD",
            "address_2": "STE 2",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013619",
            "telephone_number": "605-341-9100",
            "fax_number": "605-341-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON GRUEB",
        "first_name": "BRITTANY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD STATE LICENSE",
            "identifier": "1262",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "JACKSON",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "DC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Beth A Iverson, CNP
• Tom Dale Iverson, RPH
• J R Anesthesia Prof LLC
• Wanda Jaasund
• Jackson Boulevard Dental Associates
• Emily Jackson, LAC
• Sheryl Jane Jackson, CNP
• Jacob Folstrom Counseling Services LLC
• Cindy C Jacobs, MEDICAL TECHNOLOGIST
• Noelle Jacobs, M.S., BCBA, LBA

• Chiropractor in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.