Organization Active NPI

Canyon Wellness and Chiropractic

  • Chiropractor
  • Spearfish, SD
National Provider Identifier
1780732172
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
954 Issued in SD
Legal business name
CANYON WELLNESS AND CHIROPRACTIC
Practice address
710 E Colorado Blvd
Suite a
Spearfish, SD 57783-4701
Phone
(605) 722-4525
Fax
(605) 722-4533
NPI assigned
Jan 8, 2007
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Dr. Dean L Johnson, D.C.
Title
President
Phone
(605) 722-4525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 954 SD Primary

Addresses

Primary practice location

710 E Colorado Blvd
Suite a
Spearfish, SD 57783-4701

Mailing address

710 E Colorado Blvd
Suite a
Spearfish, SD 57783-4701
Phone (605) 722-4525

National Provider Directory

National Provider Directory

Locations

710 E Colorado Blvd
Ste A
Spearfish, SD 57783
Phone (605) 717-4525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1780732172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E COLORADO BLVD",
            "address_2": "SUITE A",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577834701",
            "telephone_number": "605-722-4525",
            "fax_number": "605-722-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E COLORADO BLVD",
            "address_2": "SUITE A",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577834701",
            "telephone_number": "605-722-4525",
            "fax_number": "605-722-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON WELLNESS AND CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-722-4525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.