Individual provider Active NPI

Angela Pascoe, DC

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1780919563
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1155 Issued in SD
Practice address
2101 W 41St St
Ste 4
Sioux Falls, SD 57105-6195
Phone
(605) 271-4109
Fax
(605) 271-5254
NPI assigned
Oct 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1155 SD Primary

Addresses

Primary practice location

2101 W 41St St
Ste 4
Sioux Falls, SD 57105-6195

Mailing address

2101 W 41St St Ste 4
Sioux Falls, SD 57105-6195
Phone (605) 271-4109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100217000822 SD Practitioner - Chiropractic 1254475080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2101 W 41St St
Suite 4
Sioux Falls, SD 57105-6195
Phone (605) 271-4109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1155SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pascoe Chiropractic, Prof LLC Chiropractor CurrentSince Nov 9, 2009 Accepting new patients

Locations

2101 W 41st St
Ste 4
Sioux Falls, SD 57105
Phone (605) 271-4109

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.

NPI Registry JSON

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1780919563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 W 41ST ST STE 4",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056195",
            "telephone_number": "605-271-4109",
            "fax_number": "605-271-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W 41ST ST",
            "address_2": "STE 4",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056195",
            "telephone_number": "605-271-4109",
            "fax_number": "605-271-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCOE",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1155",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.