Individual provider Active NPI

Todd Marlette, DC

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1801940143
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
948 Issued in SD
Practice address
3600 S Marion Rd Ste 101
Sioux Falls, SD 57106-1309
Phone
(605) 361-2500
Fax
(605) 362-1930
NPI assigned
Jan 23, 2007
Last updated
May 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 948 SD Primary

Addresses

Primary practice location

3600 S Marion Rd Ste 101
Sioux Falls, SD 57106-1309

Mailing address

3600 S Marion Rd Ste 101
Sioux Falls, SD 57106-1309
Phone (605) 361-2500

Other identifiers 6

IdentifierTypeStateIssuer
0007706OtherSDBLUE CROSS BLUE SHEILD
0007706OtherSDFIRST ADMINISTATORS
7025244OtherSDAETNA
MIDLANDSOtherSDMIDLANDS
697035OtherSDACN GROUP
7601890MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040322001846 SD Practitioner - Chiropractic 9133010986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Odland Chiropractic Clinic PCGroup PAC ID 7810071438, 3 clinicians

Practice addresses (Care Compare)

3600 S Marion Rd
Sioux Falls, SD 57106-1307
Phone (605) 361-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Odland Chiropractic Clinic PC Chiropractor CurrentSince May 16, 2011 Accepting new patients
Sioux Spine and Sport Prof.L.L.C. Chiropractor Past Accepting new patients

Locations

3600 S Marion Rd
Sioux Falls, SD 57106
Phone (605) 361-2500

3600 S Marion Rd
Ste 101
Sioux Falls, SD 57106
Phone (605) 361-2500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1801940143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 S MARION RD STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061309",
            "telephone_number": "605-361-2500",
            "fax_number": "605-362-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S MARION RD STE 101",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061309",
            "telephone_number": "605-361-2500",
            "fax_number": "605-362-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLETTE",
        "first_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "0007706",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST ADMINISTATORS",
            "identifier": "0007706",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7025244",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS",
            "identifier": "MIDLANDS",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "697035",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7601890",
            "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 May 29, 2013; 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.