Origin Health - Chiropractic & Wellness, Prof. LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ORIGIN HEALTH - CHIROPRACTIC & WELLNESS, PROF. LLC

Practice address

5800 E 18TH St Ste 102
Sioux Falls, SD 57110-2711

Phone

(307) 286-2994

NPI assigned

Aug 21, 2019

Organization subpart

No

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

Authorized official

Name

Joseph Moen, DCNPI 1972969293

Title

Owner

Phone

(307) 286-2994

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Moen

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1972969293
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1700433174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5413 S BREEZEWAY AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088628",
            "telephone_number": "307-286-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 E 18TH ST STE 102",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571102711",
            "telephone_number": "307-286-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGIN HEALTH - CHIROPRACTIC & WELLNESS, PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "MOEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-286-2994",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Opoku-Darko, M.D., MSC.
• Lauren Opp
• Mark J Oppenheimer, MD
• Chelsea Oppold, CSW, MSW-PIP
• Randy Oppold, P.A.
• Origin Restore, PLLC
• Doreen Rona Orion, MD
• Joann E Ormand, M.D.
• Brenda Orozco, MD
• Keri L Orstad, MD

• Chiropractor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.