Jenny Kathleen Meckle, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1231 Issued in SD

Practice address

246 N 5TH St
Custer, SD 57730-1506

Phone

(605) 673-5971

Fax

(605) 673-5972

NPI assigned

May 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Custer Chiropractic, P.C.

  • Chiropractor
  • Custer, SD
  • NPI 1992355978
  NPD Authorized official

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1629413679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 N 5TH ST",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577301506",
            "telephone_number": "605-673-5971",
            "fax_number": "605-673-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 N 5TH ST",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577301506",
            "telephone_number": "605-673-5971",
            "fax_number": "605-673-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECKLE",
        "first_name": "JENNY",
        "middle_name": "KATHLEEN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lehman, COTA
• Lynne Loverich, RPT
• Suzanne R Luken, RDH
• Robert Wesley Martin, LPC-LMFT
• McDonald Chiropractic, PC
• John Paul Miclat, PT
• Monument Health Network, Inc
• Monument Health Network, Inc
• Monument Health Network, Inc.
• Monument Health Network, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.