Individual provider Active NPI

Max W. Reinecke, D.C.

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1922094416
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
610 Issued in SD
Practice address
2821 S Center Ave
Sioux Falls, SD 57105-4817
Phone
(605) 335-0880
Fax
(605) 335-8506
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 610 SD Primary

Addresses

Primary practice location

2821 S Center Ave
Sioux Falls, SD 57105-4817

Mailing address

2821 S Center Ave
Sioux Falls, SD 57105-4817
Phone (605) 335-0880

Other identifiers 2

IdentifierTypeStateIssuer
350017440OtherSDRAILROAD MEDICARE PTAN
7601010MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110818000436 SD Practitioner - Chiropractic 9931378429 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jorde Chiropractic Clinic PLLC Chiropractor CurrentSince Jan 1, 2023 Accepting new patients
Reinecke Chiropractic Clinic, Inc. Chiropractor CurrentSince Jan 1, 2014 Accepting new patients

Locations

2821 S Center Ave
Sioux Falls, SD 57105
Phone (605) 335-0880

Organizations & group practices 2

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1922094416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 S CENTER AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054817",
            "telephone_number": "605-335-0880",
            "fax_number": "605-335-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 S CENTER AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571054817",
            "telephone_number": "605-335-0880",
            "fax_number": "605-335-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINECKE",
        "first_name": "MAX",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "350017440",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7601010",
            "state": "SD"
        }
    ],
    "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 Mar 7, 2023; 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.