Individual provider Active NPI

Laura Michele Berg, D.C.

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1528056058
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1060 Issued in SD
Practice address
1905 W 57TH St
Ste 103
Sioux Falls, SD 57108-2893
Phone
(605) 371-3533
Fax
(605) 371-1781
NPI assigned
Oct 10, 2005
Last updated
Apr 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1060 SD Primary

Addresses

Primary practice location

1905 W 57TH St
Ste 103
Sioux Falls, SD 57108-2893

Mailing address

1905 W 57TH St
Ste 103
Sioux Falls, SD 57108-2893
Phone (605) 371-3533

Other identifiers 4

IdentifierTypeStateIssuer
2367442OtherSDAMERICA'S PPO
7602330MedicaidSD
42842OtherSDSIOUX VALLEY HEALTH PLAN
4994781OtherSDCLASSIC BLUE/BLUE SELECT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050526000710 SD Practitioner - Chiropractic 3072555309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1905 W 57TH St
Suite 3
Sioux Falls, SD 57108-2893

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Berg, PC Chiropractor CurrentSince Apr 17, 2006 Accepting new patients
Vitality Chiropractic, LLC Chiropractor PastSince Jan 13, 2016 Accepting new patients
Michelle Buseman DC PC Chiropractor PastSince Jun 12, 2006 Accepting new patients

Locations

1905 W 57th St
Ste 3
Sioux Falls, SD 57108
Phone (605) 371-3533

Organizations & group practices 3

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1528056058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W 57TH ST",
            "address_2": "STE 103",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082893",
            "telephone_number": "605-371-3533",
            "fax_number": "605-371-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W 57TH ST",
            "address_2": "STE 103",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082893",
            "telephone_number": "605-371-3533",
            "fax_number": "605-371-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "LAURA",
        "middle_name": "MICHELE",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA'S PPO",
            "identifier": "2367442",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7602330",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "42842",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLASSIC BLUE/BLUE SELECT",
            "identifier": "4994781",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.