Organization Active NPI

Micko Chiropractic PC

  • Health Service Clinic/Center
  • Milbank, SD
National Provider Identifier
1699923946
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
1120 Issued in SD
Legal business name
MICKO CHIROPRACTIC PC
Practice address
1203 E 4TH Ave
Suite 101
Milbank, SD 57252-1543
Phone
(605) 432-9561
Fax
(605) 432-9562
NPI assigned
Aug 28, 2008
Last updated
Aug 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Aaron MickoNPI 1457530958
Title
Chiropractor
Phone
(605) 432-9561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 1120 SD Primary

Addresses

Primary practice location

1203 E 4TH Ave
Suite 101
Milbank, SD 57252-1543

Mailing address

1203 E 4TH Ave
Suite 101
Milbank, SD 57252-1543
Phone (605) 432-9561

Other identifiers 4

IdentifierTypeStateIssuer
1457530958OtherSDBCBS MN
1457530958OtherSDWELLMARK BCBS
1457530958OtherDAKOTACARE
1457530958MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080918000734 SD Part B Supplier - Clinic/Group Practice 3476629494 Receives reassigned benefits from 2 practitioners
Practice locations: Britton, SD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1699923946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 E 4TH AVE",
            "address_2": "SUITE 101",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572521543",
            "telephone_number": "605-432-9561",
            "fax_number": "605-432-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 E 4TH AVE",
            "address_2": "SUITE 101",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572521543",
            "telephone_number": "605-432-9561",
            "fax_number": "605-432-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICKO CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "MICKO",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "605-432-9561"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "SD",
            "license": "1120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "1457530958",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "1457530958",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "1457530958",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457530958",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milbank, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.