Active NPI
Carr Chiropractic Clinics PC
- Rehabilitation Chiropractor
- Kimball, SD
National Provider Identifier
1639214737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 638
- Legal business name
- CARR CHIROPRACTIC CLINICS PC
- Practice address
- 109 N Main St
Kimball, SD 57355-2204 - Phone
- (605) 778-6296
- Fax
- (605) 778-6297
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Carr
- Title
- Office Manager
- Phone
- (605) 352-5264
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 638 | SD | Primary |
Addresses
Primary practice location
109 N Main St
Kimball, SD 57355-2204
Mailing address
109 N Main St
Kimball, SD 57355-2204
Phone (605) 778-6296
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 917520 | Other | SD | DAKOTACARE |
| 0006716 | Other | SD | BSSD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041008001320 | SD | Part B Supplier - Clinic/Group Practice | 6800797374 |
Receives reassigned benefits from 9 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Faulkton, SD; Redfield, SD; Miller, SD; Huron, SD; Kimball, SD |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Carr Chiropractic Clinics PC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Chiropractor
- Huron, SD
- NPI 1134263593
-
- Chiropractor
- Redfield, SD
- NPI 1386788644
-
- Rehabilitation Chiropractor
- Miller, SD
- NPI 1750425013
-
- Chiropractor
- Faulkton, SD
- NPI 1811032915
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Miller, SD
- NPI 1609845981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201564800000",
"number": "1639214737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 N MAIN ST",
"city": "KIMBALL",
"state": "SD",
"postal_code": "573552204",
"telephone_number": "605-778-6296",
"fax_number": "605-778-6297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 N MAIN ST",
"city": "KIMBALL",
"state": "SD",
"postal_code": "573552204",
"telephone_number": "605-778-6296",
"fax_number": "605-778-6297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARR CHIROPRACTIC CLINICS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2008-01-29",
"status": "A",
"authorized_official_last_name": "CARR",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "605-352-5264"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "SD",
"license": "638",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "917520",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSSD",
"identifier": "0006716",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kimball, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.