Organization Active NPI

Pokorny Chiropractic Clinics LLC

  • Chiropractor
  • Rapid City, SD
National Provider Identifier
1699339499
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
POKORNY CHIROPRACTIC CLINICS LLC
Practice address
623 Quincy St Ste 101
Rapid City, SD 57701
Phone
(605) 791-0868
NPI assigned
Apr 26, 2019
Last updated
Sep 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Authorized official

Name
Dr. Chantel Pokorny, DC
Title
Owner
Phone
(760) 861-0130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

623 Quincy St Ste 101
Rapid City, SD 57701

Mailing address

623 Quincy St Ste 101
Rapid City, SD 57701-8230
Phone (605) 791-0868

Other identifiers 1

IdentifierTypeStateIssuer
1447776380MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191014000273 SD Part B Supplier - Clinic/Group Practice 7911230511 Receives reassigned benefits from 1 practitioner
Practice locations: Rapid City, SD

National Provider Directory

National Provider Directory

Locations

623 Quincy St
Ste 101
Rapid City, SD 57701
Phone (605) 348-2116

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1699339499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 QUINCY ST STE 101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018230",
            "telephone_number": "605-791-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 QUINCY ST STE 101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-791-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POKORNY CHIROPRACTIC CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "POKORNY",
        "authorized_official_first_name": "CHANTEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-861-0130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447776380",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.