Individual provider Active NPI

Abby L. Reverts, D.C.

  • Chiropractor
  • Madison, SD
National Provider Identifier
1811265895
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1206 Issued in SD
Practice address
411 Southeast 10TH Street
Suite 101
Madison, SD 57042-3569
Phone
(605) 556-2002
Fax
(605) 556-2012
NPI assigned
Dec 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1206 SD Primary

Addresses

Primary practice location

411 Southeast 10TH Street
Suite 101
Madison, SD 57042-3569

Mailing address

411 Southeast 10TH Street
Suite 101
Madison, SD 57042-3569
Phone (605) 556-2002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120110000223 SD Practitioner - Chiropractic 2466628698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

411 SE 10TH St
Suite 101
Madison, SD 57042-3569
Phone (605) 556-2002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1206SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abby Reverts PC Chiropractor CurrentSince Dec 5, 2011 Accepting new patients

Locations

411 SE 10th St
Ste 101
Madison, SD 57042
Phone (605) 556-2002

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": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1811265895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 SOUTHEAST 10TH STREET",
            "address_2": "SUITE 101",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570423569",
            "telephone_number": "605-556-2002",
            "fax_number": "605-556-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 SOUTHEAST 10TH STREET",
            "address_2": "SUITE 101",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570423569",
            "telephone_number": "605-556-2002",
            "fax_number": "605-556-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVERTS",
        "first_name": "ABBY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.