Organization Active NPI

Wayne R Huber DC PC

  • Sports Physician Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1811035686
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
935 Issued in SD
Legal business name
WAYNE R HUBER DC PC
Practice address
101 W 69TH Street
Suite 100
Sioux Falls, SD 57108-2440
Phone
(605) 271-8277
Fax
(605) 271-7277
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Amber Marie Bartmann
Title
Office Manager
Phone
(605) 271-8277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 935 SD Primary

Addresses

Primary practice location

101 W 69TH Street
Suite 100
Sioux Falls, SD 57108-2440

Mailing address

101 W 69TH Street
Suite 100
Sioux Falls, SD 57108-2440
Phone (605) 271-8277

Other names 1

  • Active Spine & Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

3313 S Western Ave
Sioux Falls, SD 57105
Phone (605) 271-8277

6209 S Old Village Pl
Sioux Falls, SD 57108
Phone (605) 271-8277

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1811035686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 69TH STREET",
            "address_2": "SUITE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082440",
            "telephone_number": "605-271-8277",
            "fax_number": "605-271-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 69TH STREET",
            "address_2": "SUITE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082440",
            "telephone_number": "605-271-8277",
            "fax_number": "605-271-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE R HUBER DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "BARTMANN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-271-8277"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "SD",
            "license": "935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Spine & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 15, 2007; 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.