Stuart Wayne Johnson, D.C.
Individual provider Active NPI Chiropractor · Sturgis, SD
NPI 1659569267 · NPPES record last updated Jan 10, 2011
Key facts
- NPI
- 1659569267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1121 (SD)
- Practice address
- 824 1St Street
Sturgis, SD 57785 - Phone
- (605) 347-4003
- Fax
- (605) 347-6929
- NPI assigned
- Oct 9, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
824 1St St
Sturgis, SD 57785-1230
Phone (605) 347-4003
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080115000746 | SD | Practitioner - Chiropractic | 9335239433 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Make It Happen Counseling | Current |
Accepting new patients | |
| Sturgis Chiropractic, P.C. | Chiropractor | Current |
Accepting new patients |
Locations
824 1st St
Sturgis, SD 57785
Phone (605) 347-4003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1121 | SD | Yes |
Addresses
Primary practice location
824 1St Street
Sturgis, SD 57785
Mailing address
824 1St Street
Sturgis, SD 57785
Phone (605) 347-4003
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7604860 | Medicaid | SD |
Other providers in Sturgis, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.