Southeastern Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

924 Issued in SD

Legal business name

SOUTHEASTERN CHIROPRACTIC PC

Doing business as

Your Family Chiropractor

Practice address

5011 S Bur Oak PL
Sioux Falls, SD 57108-2228

Phone

(605) 371-3346

NPI assigned

Jul 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Keith Jensen, DC

Title

Owner

Phone

(605) 371-3346

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Your Family Chiropractor Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tom K Jensen

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1285746750
  Medicare reassignment NPD
• Nathaniel E Bixby, DC

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1992819023
  NPD (past)

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1639425515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 S BUR OAK PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082228",
            "telephone_number": "605-371-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 S BUR OAK PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082228",
            "telephone_number": "605-371-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-371-3346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7600700",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Family Chiropractor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Dakota Urban Indian Health, Inc. Sduih
• South Dakota Urban Indian Health, Inc. Sduih
• South Western Dental
• Southeastern Behavioral Healthcare
• Southeastern Behavioral Healthcare
• Southeastern Dental Center
• Southwick Counseling LLC
• Kristi Southwick, LCSW-PIP
• Daniel Lawrence Sova, M.D.
• Sarah Jeanne Soward

• Chiropractor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.

Verify at the official NPI Registry.