Active NPI
Activespine LLC
- Chiropractor
- Sioux Falls, SD
National Provider Identifier
1790256188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- ACTIVESPINE LLC
- Practice address
- 6209 S Old Village PL
Sioux Falls, SD 57108-2100 - Phone
- (605) 271-8277
- Fax
- (605) 988-8130
- NPI assigned
- Dec 10, 2018
- Last updated
- Dec 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wayne R Huber, DC
- Title
- Owner
- Phone
- (605) 271-8277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
6209 S Old Village PL
Sioux Falls, SD 57108-2100
Mailing address
6209 S Old Village PL
Sioux Falls, SD 57108-2100
Phone (605) 271-8277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
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.
-
- Chiropractor
- Sioux Falls, SD
- NPI 1649516253
-
- Chiropractor
- Sioux Falls, SD
- NPI 1083493357
-
- Chiropractor
- Sioux Falls, SD
- NPI 1528501632
-
- Chiropractor
- Rapid City, SD
- NPI 1063843621
-
- Physical Therapist
- Sioux Falls, SD
- NPI 1720418130
-
- Chiropractor
- Sioux Falls, SD
- NPI 1780920280
-
- Chiropractor
- Sioux Falls, SD
- NPI 1326293549
-
- Physical Therapist
- Champaign, IL
- NPI 1194806828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544400000000",
"number": "1790256188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6209 S OLD VILLAGE PL",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082100",
"telephone_number": "605-271-8277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6209 S OLD VILLAGE PL",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082100",
"telephone_number": "605-271-8277",
"fax_number": "605-988-8130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTIVESPINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-10",
"last_updated": "2018-12-10",
"status": "A",
"authorized_official_last_name": "HUBER",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "605-271-8277",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"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 Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.