Individual provider Active NPI

Harley Martinmaas, DC

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1861015877
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1367 Issued in SD
Practice address
3801 W 34TH St Ste 105
Sioux Falls, SD 57106-4310
Phone
(605) 789-1443
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1367 SD Primary

Addresses

Primary practice location

3801 W 34TH St Ste 105
Sioux Falls, SD 57106-4310

Mailing address

4001 W Mary Jo PL Apt 118
Sioux Falls, SD 57108-3514

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200831001278 SD Practitioner - Chiropractic 8527485986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3801 W 34TH St
Suite 105
Sioux Falls, SD 57106-4310
Phone (605) 789-1443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1367SDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Life Chiropractic PC Chiropractor CurrentSince Aug 21, 2020 Accepting new patients

Locations

3801 W 34th St
Ste 105
Sioux Falls, SD 57106
Phone (605) 215-1785

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1861015877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W MARY JO PL APT 118",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 W 34TH ST STE 105",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571064310",
            "telephone_number": "605-789-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINMAAS",
        "first_name": "HARLEY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.