Active NPI
Black Hills Health & Wellness Dba Cascade Chiropractic
- Chiropractor
- Hot Springs, SD
National Provider Identifier
1689823908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 930
- Legal business name
- BLACK HILLS HEALTH & WELLNESS DBA CASCADE CHIROPRACTIC
- Practice address
- 711 Albany Ave
Hot Springs, SD 57747-2335 - Phone
- (605) 745-5119
- Fax
- (605) 745-3016
- NPI assigned
- Sep 10, 2008
- Last updated
- Jul 18, 2011
- Organization subpart
- Yes
- Parent organization
- BLACK HILLS HEALTH & WELLNESS CENTER OF RAPID CITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tina Morford
- Title
- Billing Manager
- Phone
- (605) 341-7500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 930 | SD | Primary |
Addresses
Primary practice location
711 Albany Ave
Hot Springs, SD 57747-2335
Mailing address
PO Box 1229
Hot Springs, SD 57747-3329
Phone (605) 745-5119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040109000258 | SD | Part B Supplier - Clinic/Group Practice | 1850291659 |
Receives reassigned benefits from 2 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rapid City, SD |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Black Hills Health and Wellness Center of Faith
- Chiropractor
- Faith, SD
- NPI 1376819409
O20040109000258
-
- Chiropractor
- Rapid City, SD
- NPI 1164590758
O20040109000258
National Provider Directory
National Provider Directory- Part of
- Black Hills Health and Wellness Center of Rapid Ci
Practitioners & affiliated clinicians
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.
-
- Chiropractor
- Scottsbluff, NE
- NPI 1487853388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310947200000",
"number": "1689823908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1229",
"city": "HOT SPRINGS",
"state": "SD",
"postal_code": "577473329",
"telephone_number": "605-745-5119",
"fax_number": "605-745-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 ALBANY AVE",
"city": "HOT SPRINGS",
"state": "SD",
"postal_code": "577472335",
"telephone_number": "605-745-5119",
"fax_number": "605-745-3016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLACK HILLS HEALTH & WELLNESS DBA CASCADE CHIROPRACTIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BLACK HILLS HEALTH & WELLNESS CENTER OF RAPID CITY",
"enumeration_date": "2008-09-10",
"last_updated": "2011-07-18",
"status": "A",
"authorized_official_last_name": "MORFORD",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "605-341-7500"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "SD",
"license": "930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, SD
- Christopher Baesler, BA, MA-INTERN
- Mac Baker, MSW, CSW, QMHP
- Battle Mountain Physical Therapy LLC
- Behavior Management Services
- Bianka N/a Bidovska-Miller, DDS
- Lori Mae Boggs, RN, BSN
- Christine Lynne Bradbury, MD
- Melissa Renee Brand, CPHT
- Andrea Lynn Briese, CNA A048849
- Galen Wade Britain, MSW, CSW-PIP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.