Jeff Lyle Wolff

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

710 Issued in SD

Practice address

622 W Grand Xing
Mobridge, SD 57601-2051

Phone

(605) 845-5757

NPI assigned

Jan 29, 2006

Last updated

Oct 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eureka Chiropractic Clinic Prof LLCGroup PAC ID 4587645767, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eureka Chiropractic Clinic, Prof LLC

  • Chiropractor
  • Eureka, SD
  • NPI 1194887703
  Medicare reassignment Care Compare group NPD Authorized official
• Wolff Chiropractic Clinic PC

  • Chiropractor
  • Mobridge, SD
  • NPI 1659676344
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1138492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1760453716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W GRAND XING",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576012051",
            "telephone_number": "605-845-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W GRAND XING",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576012051",
            "telephone_number": "605-845-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "JEFF",
        "middle_name": "LYLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-29",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "SD",
            "license": "710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7602862",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alfred T Smith, MSW, CSAC-II
• Support Circle Inc (The Support Circle, INC)
• Thomas George Swanson, D.D.S.
• Dorinda Vojta, CNM
• Wolff Chiropractic Clinic PC

• Sports Physician Chiropractor in Mobridge, SD
• Providers in Mobridge, SD by specialty
• Sports Physician Chiropractor in South Dakota

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

Verify at the official NPI Registry.