Christina Yackley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1321 Issued in SD

Practice address

3405 6TH St
Brookings, SD 57006-4417

Phone

(605) 693-7222

Fax

(605) 693-6614

NPI assigned

Dec 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

My Chiropractic Prof LLCGroup PAC ID 3072847276, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• My Chiropractic, Prof., LLC

  • Chiropractor
  • Brookings, SD
  • NPI 1285198259
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1497260632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 6TH ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570064417",
            "telephone_number": "605-693-3405",
            "fax_number": "605-693-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 6TH ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570064417",
            "telephone_number": "605-693-7222",
            "fax_number": "605-693-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACKLEY",
        "first_name": "CHRISTINA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS, DAKOTACARE, UHS, AVERA, SANFORD",
            "identifier": "1321",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1321",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wiseman & Tidstrom Dental Management, LLC
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• Wyatt Nash-Keller OD Prof LLC
• Yorkshire Eye Clinic,LTD
• Mary Beth Zwart, ATC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.