Active NPI
Thomas J Stotz, D.C.
- Chiropractor
- Yankton, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1075
- Practice address
- 2507 Fox Run Parkway
Yankton, SD 57078-5318 - Phone
- (605) 665-8073
- Fax
- (605) 668-9653
- NPI assigned
- Jan 4, 2006
- Last updated
- Oct 26, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1075 | SD | Primary |
Addresses
Primary practice location
2507 Fox Run Parkway
Yankton, SD 57078-5318
Mailing address
2507 Fox Run Parkway
Yankton, SD 57078-5318
Phone (605) 665-8073
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46042364100 | Medicaid | NE | |
| 7603150 | Medicaid | SD | |
| 4994259 | Other | SD | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, NE
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
215 Mulberry St
Suite 9
Yankton, SD 57078-4441
Phone (605) 401-5701
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1417 | NE | MD | Optometrist |
| 1075 | SD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Chiropractic Centers, PC | Chiropractor | Current | Accepting new patients |
| The Bonesetter Chiropractic, Prof LLC | Chiropractor | Current | Accepting new patients |
| First Chiropractic Centers, PC | Chiropractor | Past | Accepting new patients |
Locations
110 E Main St
Bloomfield, NE 68718
Phone (402) 373-4341
215 Mulberry St
Ste 9
Yankton, SD 57078
Phone (605) 401-5701
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Bonesetter Chiropractic
- Chiropractor
- Yankton, SD
- NPI 1831963669
-
dba First Chiropractic Center
- Chiropractor
- Bloomfield, NE
- NPI 1699210344
-
dba First Chiropractic Clinic
- Chiropractor
- Bloomfield, NE
- NPI 1215244009
-
dba First Chiropractic Center
- Chiropractor
- Scotland, SD
- NPI 1710422498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1669450300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2507 FOX RUN PARKWAY",
"city": "YANKTON",
"state": "SD",
"postal_code": "570785318",
"telephone_number": "605-665-8073",
"fax_number": "605-668-9653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2507 FOX RUN PARKWAY",
"city": "YANKTON",
"state": "SD",
"postal_code": "570785318",
"telephone_number": "605-665-8073",
"fax_number": "605-668-9653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOTZ",
"first_name": "THOMAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "1075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46042364100",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7603150",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4994259",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yankton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.