Active NPI
Justin Delzer, D.C.
- Chiropractor
- Centerville, SD
National Provider Identifier
1922023944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1036
- Practice address
- 540 Broadway
Centerville, SD 57014-0271 - Phone
- (605) 563-3400
- Fax
- (605) 563-3401
- NPI assigned
- Jul 12, 2006
- 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 | 1036 | SD | Primary |
Addresses
Primary practice location
540 Broadway
Centerville, SD 57014-0271
Mailing address
PO Box 271
Centerville, SD 57014-0271
Phone (605) 563-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040714000353 | SD | Practitioner - Chiropractic | 6204815327 | Practice locations: Lead, SD |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
318 Dixon Ave
Lead, SD 57754-1139
Phone (605) 571-1700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922023944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 271",
"city": "CENTERVILLE",
"state": "SD",
"postal_code": "570140271",
"telephone_number": "605-563-3400",
"fax_number": "605-563-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 BROADWAY",
"city": "CENTERVILLE",
"state": "SD",
"postal_code": "570140271",
"telephone_number": "605-563-3400",
"fax_number": "605-563-3401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELZER",
"first_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "1036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerville, SD
- Cody D Carstensen, PHARMD
- Centerville Care & Rehab Center Inc
- Centerville Community Ambulance Service, Inc.
- Centerville Development Corporation
- Centerville School District 60-01
- Keri Anne Hansen, MS, OTR/L
- Lavonne Isaak
- Nichole Johnson, M.A., CCC/SLP-L
- Michelle Lea Nelson, RPT
- Pioneer Memorial Hospital & Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.