Evolve Chiropractic and Rehab LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EVOLVE CHIROPRACTIC AND REHAB LLC

Practice address

220 S Cliff Ave Ste 102
Harrisburg, SD 57032-2487

Phone

(605) 520-4158

NPI assigned

Nov 25, 2019

Last updated

Nov 25, 2019By 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

Dr. Derek William Klatt, DCNPI 1932500816

Title

Owner

Phone

(605) 520-4158

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.

• Derek W Klatt, D.C.

  • Chiropractor
  • Harrisburg, SD
  • NPI 1932500816
  Medicare reassignment Care Compare group NPD Authorized official
• Casey William Krejci, DC

  • Chiropractor
  • Harrisburg, SD
  • NPI 1922876838
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1881230746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 COTTONWOOD DR",
            "city": "HARRISBURG",
            "state": "SD",
            "postal_code": "570322323",
            "telephone_number": "605-690-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S CLIFF AVE STE 102",
            "city": "HARRISBURG",
            "state": "SD",
            "postal_code": "570322487",
            "telephone_number": "605-520-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE CHIROPRACTIC AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "KLATT",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-520-4158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rae Edlund
• Rita Eggert, RN
• Laura Elgersma
• Muriel Annette Engbrecht, CNP
• Donna Marie Epp
• Sonya Francis, LMT
• Fricke Counseling LLC
• Amy Gage, RN
• Harrisburg Eye Care, P.C.
• Harrisburg Family Chiropractic PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.