Individual provider Active NPI

Nathan Bradley Jung, DC, EMT-B

  • Chiropractor
  • Watertown, SD
National Provider Identifier
1891224614
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1512 Issued in SD
Practice address
2013 Willow Creek Dr Ste 1
Watertown, SD 57201-9150
Phone
(605) 886-8650
NPI assigned
Jun 6, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1512 SD Primary
Chiropractor 111N00000X 33884 CA

Addresses

Primary practice location

2013 Willow Creek Dr Ste 1
Watertown, SD 57201-9150

Mailing address

2013 Willow Creek Dr Ste 1
Watertown, SD 57201-9150
Phone (605) 886-8650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250407001563 SD Practitioner - Chiropractic 3577087006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Chiropractic and Wellness PCGroup PAC ID 8921424813, 2 clinicians

Practice addresses (Care Compare)

2013 Willow Creek Dr
Suite 1
Watertown, SD 57201-9150
Phone (605) 886-8650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Core Chiropractic & Wellness PC Chiropractor CurrentSince Mar 24, 2025 Accepting new patients

Locations

2013 Willow Creek Dr
Ste 1
Watertown, SD 57201
Phone (605) 886-8650

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": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1891224614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 WILLOW CREEK DR STE 1",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572019150",
            "telephone_number": "605-886-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 WILLOW CREEK DR STE 1",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572019150",
            "telephone_number": "605-886-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "NATHAN",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "DC, EMT-B",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1512",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.