Organization Active NPI

Harrisburg Family Chiropractic PC

  • Chiropractor
  • Harrisburg, SD
National Provider Identifier
1700060811
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1076 Issued in SD
Legal business name
HARRISBURG FAMILY CHIROPRACTIC PC
Practice address
303 W Willow St
Harrisburg, SD 57032-2004
Phone
(605) 767-7463
Fax
(605) 767-7464
NPI assigned
Dec 26, 2007
Last updated
Nov 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Authorized official

Name
Dr. Ashley Brooks Mayland, DCNPI 1558411793
Title
Ceo
Phone
(605) 767-7463

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
Chiropractor 111N00000X 1076 SD Primary

Addresses

Primary practice location

303 W Willow St
Harrisburg, SD 57032-2004

Mailing address

303 W Willow St
Harrisburg, SD 57032-2004
Phone (605) 767-7463

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060221000733 SD Part B Supplier - Clinic/Group Practice 5496761934 Receives reassigned benefits from 1 practitioner
Practice locations: Harrisburg, SD

National Provider Directory

National Provider Directory

Locations

220 S Cliff Ave
Ste 106
Harrisburg, SD 57032
Phone (605) 767-7463

303 W Willow St
Harrisburg, SD 57032
Phone (605) 767-7463

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": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1700060811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W WILLOW ST",
            "city": "HARRISBURG",
            "state": "SD",
            "postal_code": "570322004",
            "telephone_number": "605-767-7463",
            "fax_number": "605-767-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W WILLOW ST",
            "city": "HARRISBURG",
            "state": "SD",
            "postal_code": "570322004",
            "telephone_number": "605-767-7463",
            "fax_number": "605-767-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISBURG FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "MAYLAND",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-767-7463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.