Organization Active NPI

Cascade Chiropractic of South Dakota

  • Chiropractor
  • Hot Springs, SD
National Provider Identifier
1730467192
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
SD930 Issued in SD
Legal business name
CASCADE CHIROPRACTIC OF SOUTH DAKOTA
Practice address
1501 Highway 18 Byp Ste B
Hot Springs, SD 57747-9602
Phone
(605) 745-5119
Fax
(605) 745-3016
NPI assigned
Aug 2, 2011
Last updated
Aug 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Dr. Shannon Lee Deboer, D.C.NPI 1215007760
Title
President/Ceo
Phone
(605) 745-5119

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X SD930 SD Primary

Addresses

Primary practice location

1501 Highway 18 Byp Ste B
Hot Springs, SD 57747-9602

Mailing address

1501 Highway 18 Byp Ste B
Hot Springs, SD 57747-9602
Phone (605) 745-5119

Other names 1

  • Cascade Chiropractic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140327001382 SD Part B Supplier - Clinic/Group Practice 4486885837 Receives reassigned benefits from 2 practitioners
Practice locations: Hot Springs, SD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1730467192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 HIGHWAY 18 BYP STE B",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577479602",
            "telephone_number": "605-745-5119",
            "fax_number": "605-745-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HIGHWAY 18 BYP STE B",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577479602",
            "telephone_number": "605-745-5119",
            "fax_number": "605-745-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE CHIROPRACTIC OF SOUTH DAKOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "DEBOER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "605-745-5119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "SD930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hot Springs, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.