Parkside Chiropractic Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

779 Issued in SD

Legal business name

PARKSIDE CHIROPRACTIC CENTER PC

Practice address

505 Kansas City St
Suite 1
Rapid City, SD 57701-3673

Phone

(605) 343-2800

Fax

(605) 388-8082

NPI assigned

Feb 15, 2008

Last updated

Feb 19, 2016By 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. Jeffrey D Burns, DCNPI 1144202144

Title

Doctor of Chiropractic/President

Phone

(605) 343-2800

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

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.

• Jeffrey D Burns, D.C.

  • Chiropractor
  • Rapid City, SD
  • NPI 1144202144
  Authorized official Same address or phone
• Kenisha Bach, OTD

  • Occupational Therapist
  • Rapid City, SD
  • NPI 1841989456
  NPD
• Jenna Fleischacker, PT, DPT

  • Pediatric Physical Therapist
  • Rapid City, SD
  • NPI 1508383225
  NPD
• Tim Wald

  • Physical Therapist
  • Rapid City, SD
  • NPI 1376603092
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1679741250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 KANSAS CITY ST",
            "address_2": "SUITE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013673",
            "telephone_number": "605-343-2800",
            "fax_number": "605-388-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 KANSAS CITY ST",
            "address_2": "SUITE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013673",
            "telephone_number": "605-343-2800",
            "fax_number": "605-388-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/PRESIDENT",
        "authorized_official_telephone_number": "605-343-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7600525",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350051174",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lew W Papendick, MD
• Paradise Pines LLC (Morningstar ALC)
• Melissa Parisien
• Nicole Paulette Parker
• Lisa Larae Parks
• Stacey Darlene Parrent, LPN
• Autumn Parsons, RBT
• Joni Parsons
• Kamri Parsons, COTA
• Laura Ann Parsons, PA-C

• Chiropractor in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.