Splitrock Chiropractic Center, LLC

Primary specialty

Radiology ChiropractorTaxonomy code 111NR0200X

License

1031 Issued in SD

Legal business name

SPLITROCK CHIROPRACTIC CENTER, LLC

Practice address

314 S Splitrock Blvd
#1
Brandon, SD 57005-1679

Phone

(605) 582-8825

Fax

(605) 582-8827

NPI assigned

Mar 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ben Axel Simonson, DC

Title

President

Phone

(605) 582-8825

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.

• Benjamin Axel Simonson, DC

  • Radiology Chiropractor
  • Brandon, SD
  • NPI 1346317807
  Medicare reassignment NPD

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1497925069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S SPLITROCK BLVD",
            "address_2": "#1",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051679",
            "telephone_number": "605-582-8825",
            "fax_number": "605-582-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S SPLITROCK BLVD",
            "address_2": "#1",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051679",
            "telephone_number": "605-582-8825",
            "fax_number": "605-582-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPLITROCK CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "SIMONSON",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "AXEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-582-8825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Radiology",
            "state": "SD",
            "license": "1031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sieck Therapy
• Amanda Lee Sieck, LCSW
• Benjamin Axel Simonson, DC
• Stephanie Sinclair
• Kelcey Smith, OTD, OTR/L
• Tessa Steinmiller, SLP
• Blake Story, DPT
• Vickie Y Sylvester, LCSW PIP
• Melissa Ann Tauer, MS, LPC, NCC
• Therapy Unlimited LLC, Gwen Homer Sole MBR

• Radiology Chiropractor in Brandon, SD
• Providers in Brandon, SD by specialty
• Radiology Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.