Active NPI
Michaela Diane Carder, MAC
- Acupuncturist
- Rapid City, SD
National Provider Identifier
1508626235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- NCCAOM163540
- Practice address
- 809 South St Ste 311
Rapid City, SD 57701-3585 - Phone
- (605) 858-9571
- NPI assigned
- Mar 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | NCCAOM163540 | SD | Primary |
Addresses
Primary practice location
809 South St Ste 311
Rapid City, SD 57701-3585
Mailing address
809 South St Ste 311
Rapid City, SD 57701-3585
Phone (605) 858-9571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NCCAOM163540 | SD | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Generational Medicine | Acupuncturist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Acupuncturist
- Rapid City, SD
- NPI 1922844703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1508626235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 SOUTH ST STE 311",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577013585",
"telephone_number": "605-858-9571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 SOUTH ST STE 311",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577013585",
"telephone_number": "605-858-9571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDER",
"first_name": "MICHAELA",
"middle_name": "DIANE",
"credential": "MAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-20",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "SD",
"license": "NCCAOM163540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.