Individual provider Active NPI

Amanda Vanvoorst I

  • Chiropractor
  • Brandon, SD
National Provider Identifier
1952375693
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1032 Issued in SD
Practice address
912 E Redwood Blvd
Brandon, SD 57005-2563
Phone
(605) 582-8900
Fax
(605) 582-8910
NPI assigned
Feb 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1032 SD Primary

Addresses

Primary practice location

912 E Redwood Blvd
Brandon, SD 57005-2563

Mailing address

912 E Redwood Blvd
Brandon, SD 57005-2563
Phone (605) 582-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1032SDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon Natural Care Center Chiropractor Past Accepting new patients
Pearson Chiropractic P.C. Chiropractor Past Accepting new patients

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1952375693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 E REDWOOD BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570052563",
            "telephone_number": "605-582-8900",
            "fax_number": "605-582-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 E REDWOOD BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570052563",
            "telephone_number": "605-582-8900",
            "fax_number": "605-582-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANVOORST",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.