Active NPI
Roger Dean Prill Jr., D.C.
- Internist Chiropractor
- Mitchell, SD
National Provider Identifier
1699754101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- 743
- 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, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roger Dean Prill Jr. | Internist | Current | Accepting new patients |
Locations
1501 N Main St
Mitchell, SD 57301
Phone (605) 996-7288
Interoperability endpoints
- 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.