Bruce A. Crisman, D.C.
Individual provider Active NPI Chiropractor · Rapid City, SD
NPI 1962431775 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962431775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 774 (SD)
- Practice address
- 552 Kirkeby LN
Rapid City, SD 57702-2502 - Phone
- (605) 718-7312
- Fax
- (605) 718-9008
- NPI assigned
- Jul 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Health Care Solutions of the Northern Hills Prof LLC
Practice addresses (Care Compare)
2024 Jackson Blvd
Rapid City, SD 57702-3481
Phone (605) 341-4850
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031231000734 | SD | Practitioner - Chiropractic | 1951209501 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Health Care Solutions of the Northern Hills, Prof. LLC | Chiropractor | Current |
Accepting new patients |
| Crisman Dixon & Associates, P.C. | Past |
Accepting new patients |
Locations
552 Kirkeby Ln
Rapid City, SD 57702
Phone (605) 718-7312
343 Quincy St
Ste 100
Rapid City, SD 57701
Phone (605) 341-4850
2024 Jackson Blvd
Rapid City, SD 57702
Phone (605) 341-4850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 774 | SD | Yes |
Addresses
Primary practice location
552 Kirkeby LN
Rapid City, SD 57702-2502
Mailing address
552 Kirkeby LN
Rapid City, SD 57702-2502
Phone (605) 718-7312
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7600534 | Medicaid | SD |
Other providers in Rapid City, SD
- Craig K. Hansen
- Cindy Creager
- Creekside Medical Clinic, Prof. LLC
- Crisman Dixon & Associates P C
- Crisman Dixon & Associates, P.C.
- Brian G Criss
- Mikayla Crocker
- Kyleigh Anne Cromwell
- Melinda Cronin
- Krista Elizabeth Crook
All providers in Rapid City, SD · Chiropractor in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.