Organization Active NPI

Advanced Health Care Solutions of the Northern Hills, Prof. LLC

  • Chiropractor
  • Rapid City, SD
National Provider Identifier
1851492284
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
970 Issued in SD
Legal business name
ADVANCED HEALTH CARE SOLUTIONS OF THE NORTHERN HILLS, PROF. LLC
Practice address
2024 Jackson Blvd
Rapid City, SD 57702-3481
Phone
(605) 341-4850
Fax
(605) 341-4850
NPI assigned
Sep 26, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Eric John Kuyper, D.C.NPI 1457465973
Title
Owner
Phone
(605) 341-4850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040419001098 SD Part B Supplier - Clinic/Group Practice 2860487881 Receives reassigned benefits from 5 practitioners
Practice locations: Rapid City, SD

National Provider Directory

National Provider Directory

Locations

2024 Jackson Blvd
Rapid City, SD 57702
Phone (605) 341-4850

343 Quincy St
Ste 100
Rapid City, SD 57701
Phone (605) 341-4850

343 Quincy St
Ste 103
Rapid City, SD 57701
Phone (605) 341-4850

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 970 SD Primary

Addresses

NPPES NPI Registry

Primary practice location

2024 Jackson Blvd
Rapid City, SD 57702-3481

Mailing address

2024 Jackson Blvd
Rapid City, SD 57702-3481
Phone (605) 341-4850

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
7601393MedicaidSD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 27, 2020.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1851492284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 JACKSON BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023481",
            "telephone_number": "605-341-4850",
            "fax_number": "605-343-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 JACKSON BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023481",
            "telephone_number": "605-341-4850",
            "fax_number": "605-341-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH CARE SOLUTIONS OF THE NORTHERN HILLS, PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "KUYPER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-341-4850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7601393",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.