Individual provider Active NPI

Scott J. Mullenmeister, D.C.

  • Neurology Chiropractor
  • Mitchell, SD
National Provider Identifier
1821028531
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
1040 Issued in SD
Practice address
1415 West Havens Street Suite 3
Chiropractic Center for Health Living
Mitchell, SD 57301-4116
Phone
(605) 996-1160
Fax
(605) 996-6433
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 1040 SD Primary

Addresses

Primary practice location

1415 West Havens Street Suite 3
Chiropractic Center for Health Living
Mitchell, SD 57301-4116

Mailing address

1415 West Havens Street Suite 3
Chiropractic Center for Health Living
Mitchell, SD 57301-4116
Phone (605) 996-1160

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019000574 SD Practitioner - Chiropractic 4183684723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Center for Healthy Living PCGroup PAC ID 7012977648, 3 clinicians

Practice addresses (Care Compare)

1415 W Havens Ave
Suite 3
Mitchell, SD 57301-4105
Phone (605) 996-1160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1040SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Center for Healthy Living PC Neurology CurrentSince Jul 20, 2004 Accepting new patients
Dobesh Chiropractic Prof LLC PastSince Oct 4, 2004 Accepting new patients

Locations

1415 W Havens Ave
Ste 3
Mitchell, SD 57301
Phone (605) 996-1160

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1821028531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 WEST HAVENS STREET SUITE 3",
            "address_2": "CHIROPRACTIC CENTER FOR HEALTH LIVING",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573014116",
            "telephone_number": "605-996-1160",
            "fax_number": "605-996-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 WEST HAVENS STREET SUITE 3",
            "address_2": "CHIROPRACTIC CENTER FOR HEALTH LIVING",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573014116",
            "telephone_number": "605-996-1160",
            "fax_number": "605-996-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLENMEISTER",
        "first_name": "SCOTT",
        "middle_name": "J.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "SD",
            "license": "1040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.