Individual provider Active NPI

Nikole Dawn Demke, DC

  • Chiropractor
  • South Sioux City, NE
National Provider Identifier
1649941691
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2126 Issued in NE
Practice address
121 E 28TH St
South Sioux City, NE 68776-3206
Phone
(402) 241-7497
NPI assigned
Sep 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2126 NE Primary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 109944 IA

Addresses

Primary practice location

121 E 28TH St
South Sioux City, NE 68776-3206

Mailing address

121 E 28TH St
South Sioux City, NE 68776-3206
Phone (402) 241-7497

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Drnikole@dakotagoodlifechiro.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829004463 TX Practitioner - Chiropractic 9931648284 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109944IAMDChiropractor
2126NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Winnebago Tribe of Nebraska CurrentSince Jul 1, 2024 Accepting new patients
Winnebago Tribe of Nebraska Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
C3, Inc Single Specialty PastSince Sep 1, 2021 Accepting new patients

Locations

121 E 28th St
South Sioux City, NE 68776
Phone (402) 241-7497

225 Bluff St
Winnebago, NE 68071
Phone (402) 745-3950

Interoperability endpoints

  • Direct secure messaging: drnikole@dakotagoodlifechiro.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1649941691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E 28TH ST",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763206",
            "telephone_number": "402-241-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E 28TH ST",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763206",
            "telephone_number": "402-241-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMKE",
        "first_name": "NIKOLE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2126",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "109944",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Drnikole@dakotagoodlifechiro.com",
            "affiliation": "N",
            "address_1": "121 E 28th St",
            "city": "South Sioux City",
            "state": "NE",
            "country_code": "US",
            "postal_code": "687763206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Sioux City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.