Wolff Chiropractic Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

710 SD Issued in SD

Legal business name

WOLFF CHIROPRACTIC CLINIC PC

Practice address

622 W Grand Xing
Mobridge, SD 57601-2051

Phone

(605) 845-5757

NPI assigned

Jan 11, 2011

Last updated

Jan 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeff Lyle Wolff, DCNPI 1760453716

Title

Owner

Phone

(605) 845-5757

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Tax ID family

Wolff Chiropractic Clinic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wolff Chiropractic Clinic PC

  • Chiropractor
  • Gettysburg, SD
  • NPI 1912205386
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeff Lyle Wolff

  • Sports Physician Chiropractor
  • Mobridge, SD
  • NPI 1760453716
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1659676344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W GRAND XING",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576012051",
            "telephone_number": "605-845-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W GRAND XING",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576012051",
            "telephone_number": "605-845-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFF CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "LYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-845-5757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "710 SD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shadow Anesthesia Services, LLC
• Alfred T Smith, MSW, CSAC-II
• Support Circle Inc (The Support Circle, INC)
• Thomas George Swanson, D.D.S.
• Dorinda Vojta, CNM
• Jeff Lyle Wolff

• Chiropractor in Mobridge, SD
• Providers in Mobridge, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.