Individual provider Active NPI

Devon I Rasmussen, DC

  • Chiropractor
  • Rapid City, SD
National Provider Identifier
1881246460
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1354 Issued in SD
Practice address
1220 Mount Rushmore Rd Ste 1
Rapid City, SD 57701-8264
Phone
(605) 341-7500
Fax
(605) 341-7903
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1354 SD Primary

Addresses

Primary practice location

1220 Mount Rushmore Rd Ste 1
Rapid City, SD 57701-8264

Mailing address

1220 Mount Rushmore Rd Ste 1
Rapid City, SD 57701-8264
Phone (605) 341-7500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210831000267 NE Practitioner - Chiropractic 4981933017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

102 Grant St
Suite a
Aurora, NE 68818-3200
Phone (402) 819-9549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1354SDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elevated Living Chiropractic LLC Chiropractor CurrentSince Aug 1, 2021 Accepting new patients

Locations

102 Grant St
#A
Aurora, NE 68818
Phone (402) 819-9549

102 Grant St
Aurora, NE 68818
Phone (402) 819-9549

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": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1881246460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MOUNT RUSHMORE RD STE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018264",
            "telephone_number": "605-341-7500",
            "fax_number": "605-341-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MOUNT RUSHMORE RD STE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577018264",
            "telephone_number": "605-341-7500",
            "fax_number": "605-341-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "DEVON",
        "middle_name": "I",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1354",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 12, 2019; 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.