Active NPI
Joshua G Biberdorf, DC
- Chiropractor
- Rapid City, SD
National Provider Identifier
1700945821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 898
- Practice address
- 1220 Mt Rushmore Rd
Suite 1
Rapid City, SD 57701 - Phone
- (605) 341-7500
- Fax
- (605) 341-7903
- NPI assigned
- Dec 6, 2006
- Last updated
- Jan 12, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 898 | SD | Primary |
Addresses
Primary practice location
1220 Mt Rushmore Rd
Suite 1
Rapid City, SD 57701
Mailing address
1220 Mt Rushmore Rd
Suite 1
Rapid City, SD 57701
Phone (605) 341-7500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005864 | Other | SD | BCBS |
| 23132 | Other | SD | SIOUX VALLEY HEALTH |
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, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Mt View Rd
Suite 102
Rapid City, SD 57702-4354
Phone (605) 791-4030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 898 | SD | MD | Chiropractor |
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.
-
- Chiropractor
- Rapid City, SD
- NPI 1073860227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1700945821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 MT RUSHMORE RD",
"address_2": "SUITE 1",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57701",
"telephone_number": "605-341-7500",
"fax_number": "605-341-7903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 MT RUSHMORE RD",
"address_2": "SUITE 1",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57701",
"telephone_number": "605-341-7500",
"fax_number": "605-341-7903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIBERDORF",
"first_name": "JOSHUA",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "898",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0005864",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIOUX VALLEY HEALTH",
"identifier": "23132",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.