Tri-State Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

689 Issued in SD

Legal business name

TRI-STATE CHIROPRACTIC, PC

Practice address

1515 5TH Ave
Suite 101
Belle Fourche, SD 57717-6031

Phone

(605) 892-4845

NPI assigned

Sep 3, 2008

Last updated

Sep 3, 2008By 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

Douglas J Larson, DCNPI 1841265956

Title

Owner

Phone

(605) 892-4845

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Douglas J. Larson, D.C.

  • Chiropractor
  • Belle Fourche, SD
  • NPI 1841265956
  Medicare reassignment Care Compare group NPD Authorized official
• Holly K Munsterman

  • Chiropractor
  • Belle Fourche, SD
  • NPI 1609737097
  Medicare reassignment Care Compare group NPD
• Cory Whalen, DC

  • Chiropractor
  • Belle Fourche, SD
  • NPI 1285494377
  Medicare reassignment NPD

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1952559916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 5TH AVE",
            "address_2": "SUITE 101",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577176031",
            "telephone_number": "605-892-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 5TH AVE",
            "address_2": "SUITE 101",
            "city": "BELLE FOURCHE",
            "state": "SD",
            "postal_code": "577176031",
            "telephone_number": "605-892-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-892-4845",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7602992",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stinton Chiropractic Clinic P.C.
• Shawn David Stinton, D.C.
• The Lactation Network, LLC
• Trec Badlands Prenatal to Five Head Start
• Tri State Medical Center PLLC
• Mary Violet
• Austin Allen Westland, ATC
• Cheryl Jane Westland
• Cory Whalen, DC
• Gail Sue Wild, CNP

• Chiropractor in Belle Fourche, SD
• Providers in Belle Fourche, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.