Organization Active NPI

William Saunders D C P C

  • Orthopedic Chiropractor
  • Vermillion, SD
National Provider Identifier
1508054057
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
SD895 Issued in SD
Legal business name
WILLIAM SAUNDERS D C P C
Practice address
717 E Main St
Vermillion, SD 57069-3312
Phone
(605) 624-8822
Fax
(605) 624-8621
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Dr. William Saunders, D C P CNPI 1376620617
Title
Ceo
Phone
(605) 624-8822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X SD895 SD Primary

Addresses

Primary practice location

717 E Main St
Vermillion, SD 57069-3312

Mailing address

717 E Main St
Vermillion, SD 57069-3312
Phone (605) 624-8822

Other identifiers 9

IdentifierTypeStateIssuer
105356OtherSDHEALTHPARTNERS
604350OtherSDACN
C895OtherSDDAKOTACARE
22398OtherSDSANFORD HEALTH
9226770OtherSDDAKOTACARE GROUP
7603364MedicaidSD
9226770OtherSDCASD
4997915OtherSDBLUE CROSS BLUE SHIELD
DE 4226OtherSDRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050302001103 SD Part B Supplier - Clinic/Group Practice 4789637646 Receives reassigned benefits from 1 practitioner
Practice locations: Vermillion, SD

National Provider Directory

National Provider Directory

Locations

918 E Cherry St
Vermillion, SD 57069
Phone (605) 624-8822

717 E Main St
Vermillion, SD 57069
Phone (605) 624-8822

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1508054057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 E MAIN ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693312",
            "telephone_number": "605-624-8822",
            "fax_number": "605-624-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 E MAIN ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693312",
            "telephone_number": "605-624-8822",
            "fax_number": "605-624-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM SAUNDERS D C P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-624-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D C P C"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "SD",
            "license": "SD895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "105356",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "604350",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "C895",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFORD HEALTH",
            "identifier": "22398",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE GROUP",
            "identifier": "9226770",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7603364",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASD",
            "identifier": "9226770",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4997915",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE 4226",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermillion, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.