Dawn Lynette Backer, CLVT

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

4490 Issued in SD

Practice address

2900 W 11TH St
Suite 101
Sioux Falls, SD 57104-2589

Phone

(605) 367-5260

NPI assigned

Jul 18, 2008

Last updated

Jul 18, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• SD Rehabilitation Center for the Blind

  dba SD Service to the Blind and Visually Impaired

  • Case Management Agency
  • Sioux Falls, SD
  • NPI 1174785992
  NPD (past) Authorized official

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1760646756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W 11TH ST",
            "address_2": "SUITE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571042589",
            "telephone_number": "605-367-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W 11TH ST",
            "address_2": "SUITE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571042589",
            "telephone_number": "605-367-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKER",
        "first_name": "DAWN",
        "middle_name": "LYNETTE",
        "credential": "CLVT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "SD",
            "license": "4490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174785992",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Back in Action Chiropractic, PC
• Back Specialists of the Midwest LLC
• Back Specialists, LLC
• Austin Backer, PT
• Courtney Backer, M.D.
• Shannon Lynn Backstrom, CNP
• Ross Noel Bacon, M.D.
• Jamie Kathryn Baden-Miles, MD
• Brooklyne Bader, RN
• Dylan Daniel Bader, PHARM D.

• Case Management Agency in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Case Management Agency in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.