Organization Active NPI

Wolff Chiropractic Clinic PC

  • Chiropractor
  • Gettysburg, SD
National Provider Identifier
1912205386
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
710 Issued in SD
Legal business name
WOLFF CHIROPRACTIC CLINIC PC
Practice address
105 E Blaine Ave
Gettysburg, SD 57442-1167
Phone
(605) 765-2720
Fax
(605) 765-2720
NPI assigned
Mar 8, 2011
Last updated
Mar 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Dr. Jeff Lyle Wolff, DC
Title
Owner
Phone
(605) 765-2720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 710 SD Primary

Addresses

Primary practice location

105 E Blaine Ave
Gettysburg, SD 57442-1167

Mailing address

105 E Blaine Ave
Gettysburg, SD 57442-1167
Phone (605) 765-2720

National Provider Directory

National Provider Directory
Tax ID family
Wolff Chiropractic Clinic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1912205386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E BLAINE AVE",
            "city": "GETTYSBURG",
            "state": "SD",
            "postal_code": "574421167",
            "telephone_number": "605-765-2720",
            "fax_number": "605-765-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E BLAINE AVE",
            "city": "GETTYSBURG",
            "state": "SD",
            "postal_code": "574421167",
            "telephone_number": "605-765-2720",
            "fax_number": "605-765-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFF CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "LYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-765-2720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.