Active NPI
Carson Jude Park, DC
- Chiropractor
- Sioux Falls, SD
National Provider Identifier
1629880455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1504
- Practice address
- 4712 E 41St St
Sioux Falls, SD 57110-7207 - Phone
- (605) 261-2149
- NPI assigned
- Jan 20, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1504 | SD | Primary |
Addresses
Primary practice location
4712 E 41St St
Sioux Falls, SD 57110-7207
Mailing address
605 E Figzel CT Apt 103
Tea, SD 57064-2525
Phone (605) 261-2149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250502001465 | SD | Practitioner - Chiropractic | 4587180575 | Practice locations: Sioux Falls, SD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Horizons LLC | Chiropractor | Current | Accepting new patients |
Locations
4712 E 41st St
Sioux Falls, SD 57110
Phone (605) 261-2149
Organizations & group practices 1
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.
-
- Chiropractor
- Sioux Falls, SD
- NPI 1437958220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737331200000",
"number": "1629880455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 E FIGZEL CT APT 103",
"city": "TEA",
"state": "SD",
"postal_code": "570642525",
"telephone_number": "605-261-2149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4712 E 41ST ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571107207",
"telephone_number": "605-261-2149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "CARSON",
"middle_name": "JUDE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-20",
"last_updated": "2025-01-20",
"certification_date": "2025-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "1504",
"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 Jan 20, 2025; 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.