Organization Active NPI

Runyan Chiropractic PC

  • Chiropractor
  • Spearfish, SD
National Provider Identifier
1639435274
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
744 Issued in SD
Legal business name
RUNYAN CHIROPRACTIC PC
Practice address
1109 N Main St
Spearfish, SD 57783-1424
Phone
(605) 642-7111
Fax
(605) 644-1334
NPI assigned
Apr 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Dr. Clay Stuart Runyan, DC
Title
Owner/Operator
Phone
(605) 642-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 744 SD Primary

Addresses

Primary practice location

1109 N Main St
Spearfish, SD 57783-1424

Mailing address

1109 N Main St
Spearfish, SD 57783-1424
Phone (605) 642-7111

National Provider Directory

National Provider Directory

Locations

1109 N Main St
Spearfish, SD 57783
Phone (605) 642-4198

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1639435274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 N MAIN ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831424",
            "telephone_number": "605-642-7111",
            "fax_number": "605-644-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 N MAIN ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831424",
            "telephone_number": "605-642-7111",
            "fax_number": "605-644-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUNYAN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "RUNYAN",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "605-642-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.