Individual provider Active NPI

Chad L Hindberg

  • Case Manager/Care Coordinator
  • Sioux Falls, SD
National Provider Identifier
1770754814
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
811 E 10TH St Dept 23
Sioux Falls, SD 57103-1650
Phone
(605) 367-7144
Fax
(605) 367-5327
NPI assigned
Mar 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

811 E 10TH St Dept 23
Sioux Falls, SD 57103-1650

Mailing address

811 E 10TH St Dept 23
Sioux Falls, SD 57103-1650
Phone (605) 367-7144

Other identifiers 1

IdentifierTypeStateIssuer
5180104MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1770754814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E 10TH ST DEPT 23",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571031650",
            "telephone_number": "605-367-7144",
            "fax_number": "605-367-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E 10TH ST DEPT 23",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571031650",
            "telephone_number": "605-367-7144",
            "fax_number": "605-367-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDBERG",
        "first_name": "CHAD",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5180104",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.