Individual provider Active NPI

Roger Dean Prill Jr., D.C.

  • Internist Chiropractor
  • Mitchell, SD
National Provider Identifier
1699754101
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
743 Issued in SD
Practice address
1501 N Main St
Mitchell, SD 57301-1017
Phone
(605) 996-7288
Fax
(605) 995-0293
NPI assigned
Jan 12, 2006
Last updated
Dec 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 743 SD Primary

Addresses

Primary practice location

1501 N Main St
Mitchell, SD 57301-1017

Mailing address

1501 N Main St
Mitchell, SD 57301-1017
Phone (605) 996-7288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110224001019 SD Practitioner - Chiropractic 5597945345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roger Dean Prill Jr.Group PAC ID 8426039827, 2 clinicians

Practice addresses (Care Compare)

1501 N Main St
Mitchell, SD 57301-1017
Phone (605) 996-7288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roger Dean Prill Jr. Internist CurrentSince Oct 1, 1990 Accepting new patients

Locations

1501 N Main St
Mitchell, SD 57301
Phone (605) 996-7288

Interoperability endpoints

  • Direct secure messaging: drprill@dpp0001.direct.chirotouch.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1699754101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N MAIN ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011017",
            "telephone_number": "605-996-7288",
            "fax_number": "605-995-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N MAIN ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011017",
            "telephone_number": "605-996-7288",
            "fax_number": "605-995-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRILL",
        "first_name": "ROGER",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "SD",
            "license": "743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.