Active NPI
Sammi Jo Tivis, D.C.
- Chiropractor
- Rapid City, SD
National Provider Identifier
1770802514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1174
- Practice address
- 810 Mt View Rd
Rapid City, SD 57702 - Phone
- (605) 399-2273
- NPI assigned
- May 18, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1174 | SD | Primary |
Addresses
Primary practice location
810 Mt View Rd
Rapid City, SD 57702
Mailing address
810 Mt View Rd
Rapid City, SD 57702-2520
Other practice location 1
118 Melody Ln
Lot #19
Box Elder, SD 57719
Phone (605) 430-0613
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bahr Chiropractic Wellness Center LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Rapid City, SD
- NPI 1093941049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1770802514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 MT VIEW RD",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577022520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 MT VIEW RD",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "57702",
"telephone_number": "605-399-2273"
}
],
"practiceLocations": [
{
"address_1": "118 Melody Ln",
"address_2": "Lot #19",
"address_purpose": "LOCATION",
"city": "Box Elder",
"state": "SD",
"postal_code": "57719",
"country_code": "US",
"telephone_number": "605-430-0613",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIVIS",
"first_name": "SAMMI",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-18",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "1174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rapid City, SD
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- Angela C Tocci, MA, LPC, NCC
- Alexa Toczek, LISW
- Sunni Toczek, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.