Pokorny Chiropractic Clinic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

954 Issued in ND

Legal business name

POKORNY CHIROPRACTIC CLINIC, LLC

Practice address

2620 Jackson Blvd
Rapid City, SD 57702-1502

Phone

(701) 290-9888

NPI assigned

Nov 6, 2017

Last updated

Nov 6, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

POKORNY CHIROPRACTIC CLINIC, LLCAs reported in NPPES

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

Authorized official

Name

Mason Pokorny, DC

Title

Owner

Phone

(701) 290-9888

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Pokorny Chiropractic Clinic LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pokorny Chiropractic Clinics LLC

  • Chiropractor
  • Rapid City, SD
  • NPI 1699339499
  NPPES parent name

Practitioners 4

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.

• Mason Thomas Custer, D.C.

  • Chiropractor
  • Bismarck, ND
  • NPI 1336579507
  NPD (past)
• Sheldon R Gordon, D.C.

  • Chiropractor
  • Dickinson, ND
  • NPI 1144402850
  NPD (past)
• David C Pokorny, D.C

  • Chiropractor
  • Dickinson, ND
  • NPI 1588748149
  NPD (past)
• Jeffrey D Pokorny, D.C

  • Chiropractor
  • Dickinson, ND
  • NPI 1710083175
  NPD (past)

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1821501438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 3RD AVE W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013802",
            "telephone_number": "701-225-9696",
            "fax_number": "701-225-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 JACKSON BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577021502",
            "telephone_number": "701-290-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POKORNY CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "POKORNY CHIROPRACTIC CLINIC, LLC",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "POKORNY",
        "authorized_official_first_name": "MASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-290-9888",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1463430",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne Plooster, DO
• Angelena M Plummer, LPC-MH, QMHP
• Carey Poehls, PT, DPT,OCS
• Angela Marie Poile
• Jo Pokorney
• Pokorny Chiropractic Clinics LLC
• Tamara Poling
• Larry Pollard
• Brooke Pond, M.S.
• Ponderosa Smiles

• Chiropractor in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.