Individual provider Active NPI

Robert McIntosh, D.C.

  • Chiropractor
  • Spearfish, SD
National Provider Identifier
1841521648
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1167 Issued in SD
Practice address
132 E Grant St
Spearfish, SD 57783-2424
Phone
(605) 722-2225
NPI assigned
Jan 19, 2010
Last updated
Jan 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1167 SD Primary
Orthopedic Chiropractor 111NX0800X 1167 SD
Rehabilitation Chiropractor 111NR0400X 1167 SD

Addresses

Primary practice location

132 E Grant St
Spearfish, SD 57783-2424

Mailing address

PO Box 428
Spearfish, SD 57783-0428

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100316000490 SD Practitioner - Chiropractic 3476688466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lecy Family Chiropractic PCGroup PAC ID 5496818866, 3 clinicians

Practice addresses (Care Compare)

325 Omaha St
Suite 5
Rapid City, SD 57701-2803

325 Omaha St
Suite 5
Rapid City, SD 57701-2850
Phone (605) 718-5329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1167SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lecy Family Chiropractic, P.C. Chiropractor CurrentSince May 18, 2015 Accepting new patients
Active Living Chiropractic P.C. Chiropractor CurrentSince Mar 16, 2010 Accepting new patients

Locations

325 Omaha St
Rapid City, SD 57701
Phone (605) 718-5329

325 Omaha St
Ste 5
Rapid City, SD 57701
Phone (605) 718-5329

132 E Grant St
Spearfish, SD 57783
Phone (602) 722-2225

138 E Hudson St
Spearfish, SD 57783
Phone (605) 722-2225

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, 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": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1841521648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577830428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E GRANT ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832424",
            "telephone_number": "605-722-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1167",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "SD",
            "license": "1167",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "SD",
            "license": "1167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.