Organization Active NPI

Mitchell Chiropractic & Acupuncture Center, P.C.

  • Chiropractor
  • Mitchell, SD
National Provider Identifier
1598737173
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
862 Issued in SD
Legal business name
MITCHELL CHIROPRACTIC & ACUPUNCTURE CENTER, P.C.
Practice address
501 W Havens St
Mitchell, SD 57301-4334
Phone
(605) 996-1078
Fax
(605) 996-3703
NPI assigned
Feb 7, 2006
Last updated
Mar 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Mrs. Sandy K Hanssen
Title
Ca
Phone
(605) 996-1078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 862 SD Primary

Addresses

Primary practice location

501 W Havens St
Mitchell, SD 57301-4334

Mailing address

501 W Havens St
Mitchell, SD 57301-4334
Phone (605) 996-1078

Other identifiers 2

IdentifierTypeStateIssuer
S41206OtherMEDICARE
0041206OtherSDBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040524000943 SD Part B Supplier - Clinic/Group Practice 0143211466 Receives reassigned benefits from 2 practitioners
Practice locations: Mitchell, SD

National Provider Directory

National Provider Directory

Locations

501 W Havens Ave
Mitchell, SD 57301
Phone (605) 996-1078

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1598737173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W HAVENS ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573014334",
            "telephone_number": "605-996-1078",
            "fax_number": "605-996-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W HAVENS ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573014334",
            "telephone_number": "605-996-1078",
            "fax_number": "605-996-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL CHIROPRACTIC & ACUPUNCTURE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "HANSSEN",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CA",
        "authorized_official_telephone_number": "605-996-1078",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "S41206",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0041206",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.