Whitewood Creek Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1277 Issued in SD

Legal business name

WHITEWOOD CREEK CHIROPRACTIC PC

Practice address

1001 Meade St
Whitewood, SD 57793-3054

Phone

(605) 717-2428

Fax

(605) 717-2491

NPI assigned

Dec 4, 2015

Last updated

Feb 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Will John Johnson, D.C.NPI 1225403033

Title

Owner

Phone

(605) 641-9086

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 2

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.

• Will John Johnson

  • Chiropractor
  • Whitewood, SD
  • NPI 1225403033
  Medicare reassignment Care Compare group NPD Authorized official
• Kylee Ann Johnson, DC

  • Chiropractor
  • Whitewood, SD
  • NPI 1659808145
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1831564608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MEADE ST",
            "city": "WHITEWOOD",
            "state": "SD",
            "postal_code": "577933054",
            "telephone_number": "605-717-2428",
            "fax_number": "605-717-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MEADE ST",
            "city": "WHITEWOOD",
            "state": "SD",
            "postal_code": "577933054",
            "telephone_number": "605-717-2428",
            "fax_number": "605-717-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEWOOD CREEK CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-641-9086",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Castle Retirement Home Inc
• Kylee Ann Johnson, DC
• Will John Johnson

• Chiropractor in Whitewood, SD
• Providers in Whitewood, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.