NPIMap

Organization Active NPI

Kiefer Chiropractic Clinic, P.L.L.C.

  • Chiropractor
  • Watertown, SD
National Provider Identifier
1760659403
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
600 Issued in SD
Legal business name
KIEFER CHIROPRACTIC CLINIC, P.L.L.C.
Practice address
808 2ND St SW
Watertown, SD 57201-4717
Phone
(605) 886-4951
NPI assigned
May 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Dr. Gary Kiefer, D.C.NPI 1366412785
Title
Chiropractor/Single Member-Manager
Phone
(605) 886-4951

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 600 SD Primary

Addresses

Primary practice location

808 2ND St SW
Watertown, SD 57201-4717

Mailing address

808 2ND St SW
Watertown, SD 57201-4717
Phone (605) 886-4951

Other identifiers 4

IdentifierTypeStateIssuer
22150OtherSDSIOUX VALLEY HEALTH INS.
3396OtherSDAVERA HEALTH INSURANCE
0080605OtherSDBLUE CROSS/BLUE SHIELD
241881OtherSDMIDLANDS CHOICE INSURANCE

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.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1760659403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 2ND ST SW",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014717",
            "telephone_number": "605-886-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 2ND ST SW",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572014717",
            "telephone_number": "605-886-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIEFER CHIROPRACTIC CLINIC, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "KIEFER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CHIROPRACTOR/SINGLE MEMBER-MANAGER",
        "authorized_official_telephone_number": "605-886-4951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH INS.",
            "identifier": "22150",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA HEALTH INSURANCE",
            "identifier": "3396",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0080605",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE INSURANCE",
            "identifier": "241881",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.