Individual provider Active NPI

Ross A McDaniel, DC, CCSP

  • Sports Physician Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1558347443
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1019 Issued in SD
Practice address
1727 S Cleveland Ave
Sioux Falls, SD 57103-3245
Phone
(605) 334-6656
Fax
(605) 333-4875
NPI assigned
Dec 21, 2005
Last updated
Sep 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1019 SD
Sports Physician Chiropractor 111NS0005X 1019 SD Primary

Addresses

Primary practice location

1727 S Cleveland Ave
Sioux Falls, SD 57103-3245

Mailing address

1727 S Cleveland Ave
Sioux Falls, SD 57103-3245
Phone (605) 334-6656

Other identifiers 7

IdentifierTypeStateIssuer
4994584OtherSDBLUE CROSS
7601810MedicaidSD
33947OtherSDSIOUX VALLEY HEALTH PLAN
7447594OtherSDAETNA
C1019OtherSDDAKOTACARE
243137OtherSDMIDLANDS CHOICE
9483OtherSDAVERA HEALTH PLANS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001238 SD Practitioner - Chiropractic 5496647109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chirosport PCGroup PAC ID 6406748110, 4 clinicians

Practice addresses (Care Compare)

128 E Holly Blvd
Brandon, SD 57005-1114
Phone (605) 582-8800

6705 S Cliff Ave
Sioux Falls, SD 57108-8585
Phone (605) 334-6656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chirosport PC Chiropractor CurrentSince Jan 9, 2004 Accepting new patients
Chirosport Hartford, PC Chiropractor PastSince Dec 20, 2023 Accepting new patients
Chirosport Lake Lorraine PC Chiropractor PastSince May 7, 2025 Accepting new patients
Chirosport Rock Valley, PC Chiropractor Past Accepting new patients
Chirosport Brandon, PC PastSince Aug 22, 2024 Accepting new patients

Locations

128 E Holly Blvd
Brandon, SD 57005
Phone (605) 582-8800

6705 S Cliff Ave
Sioux Falls, SD 57108
Phone (605) 334-6656

Organizations & group practices 5

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1558347443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 S CLEVELAND AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571033245",
            "telephone_number": "605-334-6656",
            "fax_number": "605-333-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 S CLEVELAND AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571033245",
            "telephone_number": "605-334-6656",
            "fax_number": "605-333-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "ROSS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC, CCSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1019",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "SD",
            "license": "1019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4994584",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7601810",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "33947",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7447594",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "C1019",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "243137",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA HEALTH PLANS",
            "identifier": "9483",
            "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 Sep 5, 2012; 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.