Active NPI
Christopher Noel Mikkelsen, DC
- Chiropractor
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1173
- Practice address
- 2909 E 57TH St
Suite 102
Sioux Falls, SD 57108-4505 - Phone
- (605) 830-2008
- Fax
- (605) 271-7616
- NPI assigned
- Apr 14, 2010
- Last updated
- Apr 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1173 | SD | Primary |
Addresses
Primary practice location
2909 E 57TH St
Suite 102
Sioux Falls, SD 57108-4505
Mailing address
2909 E 57TH St
Suite 102
Sioux Falls, SD 57108-4505
Phone (605) 830-2008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
128 E Holly Blvd
Brandon, SD 57005-1114
Phone (605) 582-8800
6705 S Cliff Ave
Sioux Falls, SD 57108-8585
Phone (605) 334-6656
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1173 | SD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chirosport PC | Chiropractor | Current | Accepting new patients |
| Chirosport Hartford, PC | Chiropractor | Past | Accepting new patients |
| Heartland Chiropractic and Sports Rehabilitation Center P.C. | Past | Accepting new patients | |
| Chirosport Brandon, PC | Past | Accepting new patients |
Locations
128 E Holly Blvd
Brandon, SD 57005
Phone (605) 582-8800
6705 S Cliff Ave
Sioux Falls, SD 57108
Phone (605) 334-6656
Organizations & group practices 4
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.
-
- Chiropractor
- Brandon, SD
- NPI 1861511479
-
- Clinic/Center
- Brandon, SD
- NPI 1942048558
-
- Chiropractor
- Hartford, SD
- NPI 1033626114
-
- Sports Physician Chiropractor
- Sioux Falls, SD
- NPI 1124113220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1891011987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2909 E 57TH ST",
"address_2": "SUITE 102",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571084505",
"telephone_number": "605-830-2008",
"fax_number": "605-271-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2909 E 57TH ST",
"address_2": "SUITE 102",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571084505",
"telephone_number": "605-830-2008",
"fax_number": "605-271-7616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKKELSEN",
"first_name": "CHRISTOPHER",
"middle_name": "NOEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-14",
"last_updated": "2010-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "1173",
"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 Apr 14, 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.