Healthsource Chiropractic & Progressive Rehab of Sioux Falls PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

993 Issued in SD

Legal business name

HEALTHSOURCE CHIROPRACTIC & PROGRESSIVE REHAB OF SIOUX FALLS PC

Doing business as

HealthSource of Sioux Falls South

Practice address

5128 S Cliff Ave Ste 200
Sioux Falls, SD 57108-5475

Phone

(605) 357-8093

Fax

(605) 357-8102

NPI assigned

May 27, 2006

Last updated

Jan 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Heath Marsh, DCNPI 1194843813

Title

Owner

Phone

(605) 357-8093

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• HealthSource of Sioux Falls South Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heath Marsh, DC

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1194843813
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Timothy Clarke, D.C.

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1801134291
  Medicare reassignment Care Compare group NPD
• Brandon Vondrak

  • Chiropractor
  • Sioux Falls, SD
  • NPI 1669264016
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1922055714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 S CLIFF AVE STE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085475",
            "telephone_number": "605-357-8093",
            "fax_number": "605-357-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5128 S CLIFF AVE STE 200",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085475",
            "telephone_number": "605-357-8093",
            "fax_number": "605-357-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE CHIROPRACTIC & PROGRESSIVE REHAB OF SIOUX FALLS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "HEATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-357-8093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SVHP",
            "identifier": "22262",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7601740",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4996421",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of Sioux Falls South",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthSource of Sioux Falls South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.