Organization Active NPI

Black Hills Health & Wellness Dba Cascade Chiropractic

  • Chiropractor
  • Hot Springs, SD
National Provider Identifier
1689823908
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
930 Issued in SD
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, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
BLACK HILLS HEALTH & WELLNESS CENTER OF RAPID CITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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.

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.

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

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.

Verify at the official NPI Registry.