Individual provider Active NPI

Christine Marie Wakefield, D.C.

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1629070453
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
897 Issued in SD
Practice address
3220 W 57TH St
Ste 103
Sioux Falls, SD 57108-3145
Phone
(605) 274-1900
Fax
(605) 275-0625
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 897 SD Primary

Addresses

Primary practice location

3220 W 57TH St
Ste 103
Sioux Falls, SD 57108-3145

Mailing address

3220 W 57TH St
Ste 103
Sioux Falls, SD 57108-3145
Phone (605) 274-1900

Other identifiers 1

IdentifierTypeStateIssuer
7600382MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
897SDMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1629070453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 W 57TH ST",
            "address_2": "STE 103",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083145",
            "telephone_number": "605-274-1900",
            "fax_number": "605-782-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 W 57TH ST",
            "address_2": "STE 103",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083145",
            "telephone_number": "605-274-1900",
            "fax_number": "605-275-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7600382",
            "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 May 5, 2016; 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.