Organization Active NPI

Great Plains Chiropractic & Wellness LLC

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1891920054
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1104 Issued in SD
Legal business name
GREAT PLAINS CHIROPRACTIC & WELLNESS LLC
Practice address
3233 S. Sycamore Ave.
Sioux Falls, SD 57103
Phone
(605) 271-4777
NPI assigned
May 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Authorized official

Name
Dr. Mark T Hardwick, D.C.NPI 1063560407
Title
Chiropractor
Phone
(605) 271-4777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1104 SD Primary

Addresses

Primary practice location

3233 S. Sycamore Ave.
Sioux Falls, SD 57103

Mailing address

3233 S. Sycamore Ave.
Sioux Falls, SD 57110
Phone (605) 271-4777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090925000300 SD Part B Supplier - Clinic/Group Practice 3476609892 Receives reassigned benefits from 2 practitioners
Practice locations: Sioux Falls, SD

National Provider Directory

National Provider Directory

Locations

3233 S Sycamore Ave
Sioux Falls, SD 57110
Phone (605) 271-4777

2000 S Sycamore Ave
Sioux Falls, SD 57110
Phone (605) 271-4777

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1891920054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 S. SYCAMORE AVE.",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57110",
            "telephone_number": "605-271-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 S. SYCAMORE AVE.",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57103",
            "telephone_number": "605-271-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS CHIROPRACTIC & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "HARDWICK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "605-271-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1104",
            "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 Sep 3, 2009; 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.