Individual provider Active NPI

Shane V Prunty, D.C.

  • Chiropractor
  • Pierre, SD
National Provider Identifier
1841339074
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1100 Issued in SD
Practice address
420 W Sioux Ave Ste 1
Pierre, SD 57501-2481
Phone
(605) 224-9902
NPI assigned
Feb 5, 2007
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1100 SD Primary

Addresses

Primary practice location

420 W Sioux Ave Ste 1
Pierre, SD 57501-2481

Mailing address

420 W Sioux Ave 1
Prunty Chiropractic
Pierre, SD 57501-2481
Phone (605) 224-9902

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110927000012 SD Practitioner - Chiropractic 4183895089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prunty Chiropractic PCGroup PAC ID 3577575612, 2 clinicians

Practice addresses (Care Compare)

420 W Sioux Ave
Suite 1
Pierre, SD 57501-2481
Phone (605) 224-9902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1100SDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Prunty Chiropractic P.C. Chiropractor CurrentSince Aug 1, 2011 Accepting new patients

Locations

1709 N Lincoln Ave
Ste 103
Pierre, SD 57501
Phone (605) 224-9902

420 W Sioux Ave
Ste 1
Pierre, SD 57501
Phone (605) 224-9902

420 W Sioux Ave
#1
Pierre, SD 57501
Phone (605) 224-9902

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1841339074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W SIOUX AVE 1",
            "address_2": "PRUNTY CHIROPRACTIC",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575012481",
            "telephone_number": "605-224-9902",
            "fax_number": "605-224-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W SIOUX AVE STE 1",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575012481",
            "telephone_number": "605-224-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUNTY",
        "first_name": "SHANE",
        "middle_name": "V",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierre, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.