Individual provider Active NPI

Allison A Dargatz, DC

  • Chiropractor
  • Watertown, SD
National Provider Identifier
1508478934
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1373 Issued in SD
Practice address
611 6TH St SE
Watertown, SD 57201-4938
Phone
(605) 882-0100
Fax
(605) 882-6911
NPI assigned
Aug 18, 2020
Last updated
Aug 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1373 SD Primary

Addresses

Primary practice location

611 6TH St SE
Watertown, SD 57201-4938

Mailing address

1604 13TH Ave NE
Watertown, SD 57201-7900
Phone (605) 881-7057

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210220000120 SD Practitioner - Chiropractic 0042625204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1002 14TH St SE
Watertown, SD 57201-5328
Phone (605) 878-2639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Body in Balance Chiropractic & Wellness, PC Chiropractor CurrentSince May 1, 2021 Accepting new patients
Alternative Health Centers PC PastSince Aug 23, 2020 Accepting new patients

Locations

1002 14th St SE
Watertown, SD 57201
Phone (605) 878-2639

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1508478934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 13TH AVE NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572017900",
            "telephone_number": "605-881-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 6TH ST SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014938",
            "telephone_number": "605-882-0100",
            "fax_number": "605-882-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARGATZ",
        "first_name": "ALLISON",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.