Individual provider Active NPI

Sydney A Graner, DC

  • Chiropractor
  • Spearfish, SD
National Provider Identifier
1508676073
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1498 Issued in SD
Practice address
311 N 27TH St Ste 1
Spearfish, SD 57783-3349
Phone
(605) 645-7772
NPI assigned
Jan 8, 2025
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1498 SD Primary

Addresses

Primary practice location

311 N 27TH St Ste 1
Spearfish, SD 57783-3349

Mailing address

311 N 27TH St Ste 1
Spearfish, SD 57783-3349
Phone (605) 645-7772

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250114001164 SD Practitioner - Chiropractic 4284162504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2024
Medicare assignment
May accept Medicare assignment
Group practices
All About Potential Family Chiropractic PCGroup PAC ID 1759396070, 4 clinicians

Practice addresses (Care Compare)

311 N 27TH St
Suite 1
Spearfish, SD 57783-3213
Phone (605) 644-9074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1498SDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
All About Potential Family Chiropractic PC Chiropractor CurrentSince Jan 8, 2025 Accepting new patients

Locations

311 N 27th St
Ste 1
Spearfish, SD 57783
Phone (605) 644-9074

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, 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": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1508676073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N 27TH ST STE 1",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577833349",
            "telephone_number": "605-645-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N 27TH ST STE 1",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577833349",
            "telephone_number": "605-645-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANER",
        "first_name": "SYDNEY",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.