J S Nelson P C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

555 Issued in SD

Legal business name

J S NELSON P C

Doing business as

nelson chiropractic clinic

Practice address

1930 North Ave
Spearfish, SD 57783-2913

Phone

(605) 642-5196

Fax

(605) 642-4409

NPI assigned

Jun 18, 2007

Organization subpart

No

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

Authorized official

Name

John Nelson, D.C.NPI 1356355853

Title

Owner

Phone

(605) 642-5196

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• nelson chiropractic clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 3

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

• John S Nelson, DC

  • Chiropractor
  • Spearfish, SD
  • NPI 1356355853
  Medicare reassignment Care Compare group NPD Authorized official
• Bjorn Carr Nelson, D.C.

  • Chiropractor
  • Spearfish, SD
  • NPI 1790183192
  Medicare reassignment Care Compare group NPD
• Devon Nelson, D.C.

  • Chiropractor
  • Spearfish, SD
  • NPI 1639582208
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1508061896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577830127",
            "telephone_number": "605-642-5196",
            "fax_number": "605-642-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 NORTH AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832913",
            "telephone_number": "605-642-5196",
            "fax_number": "605-642-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J S NELSON P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-642-5196",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "S3089",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7600270",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "nelson chiropractic clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Heather Howard
• Lora Louise Hummel-Koch, RPH
• Tracy Hunt, LPC-MH QMHP
• Brooke Melody Hvachovec Thompson
• Independent Explorers Occupational Therapy Prof LLC
• Ariana Dawn Jacquot, DNAP, CRNA
• Heather Ann Janvrin, MS
• James Jeffery, CNP
• Breana Brooke Jennings
• Ray Byron Jensen, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.