NPIMap

Organization Active NPI

Sioux Spine and Sport Prof.L.L.C.

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1619387339
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1024 Issued in SD
Legal business name
SIOUX SPINE AND SPORT PROF.L.L.C.
Practice address
5412 W 26TH St
Sioux Falls, SD 57106-0604
Phone
(605) 362-1230
Fax
(605) 323-0052
NPI assigned
May 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Authorized official

Name
Dr. Wade Thomas Scheurenbrand, DC, LACNPI 1710031059
Title
Owner/Chiropractor
Phone
(605) 362-1230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1024 SD Primary

Addresses

Primary practice location

5412 W 26TH St
Sioux Falls, SD 57106-0604

Mailing address

5412 W 26TH St
Sioux Falls, SD 57106-0604
Phone (605) 362-1230

National Provider Directory

National Provider Directory

Locations

5412 W 26th St
Sioux Falls, SD 57106
Phone (605) 323-1166

Practitioners & affiliated clinicians

Practitioners 5

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": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1619387339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 W 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571060604",
            "telephone_number": "605-362-1230",
            "fax_number": "605-323-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 W 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571060604",
            "telephone_number": "605-362-1230",
            "fax_number": "605-323-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUX SPINE AND SPORT PROF.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "SCHEURENBRAND",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "605-362-1230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, LAC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1024",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.