Watertown Chiropractic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1021 Issued in SD

Legal business name

WATERTOWN CHIROPRACTIC P.C.

Practice address

2320 9TH Ave SE
Watertown, SD 57201-7112

Phone

(605) 882-2304

NPI assigned

Aug 6, 2007

Last updated

Aug 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan G Dingsor, DCNPI 1649200577

Title

President/Owner

Phone

(605) 882-2304

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan Garry Dingsor, DC

  • Chiropractor
  • Watertown, SD
  • NPI 1649200577
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1528259405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 9TH AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572017112",
            "telephone_number": "605-882-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 9TH AVE SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572017112",
            "telephone_number": "605-882-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERTOWN CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "DINGSOR",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "605-882-2304",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7601770",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith A Wanner, CRNA
• Carlene Marie Ward
• Watertown Anesthesia PC
• Watertown Area Transit, Inc
• Watertown Care and Rehabilitation Center LLC (Watertown Care and Rehabilitation Center)
• Watertown Pathology PC
• Watertown School District
• Watertown SD Skilled Nursing Facility LLC (Avantara Watertown)
• Watertown Wellness and Chiropractic
• Wayne E Snyder MD, PC (Snyder Eye Clinic)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.