Tyler B Nenaber, DC
Individual provider Active NPI Chiropractor · Sioux Falls, SC
NPI 1972010569 · NPPES record last updated Jan 4, 2018
Key facts
- NPI
- 1972010569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1324 (SD)
- Practice address
- 2500 W 46TH St Ste 100
Sioux Falls, SC 57105 - Phone
- (605) 335-3008
- NPI assigned
- Jan 4, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1324 | SD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parham Chiropractic PC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1324 | SD | Yes |
Addresses
Primary practice location
2500 W 46TH St Ste 100
Sioux Falls, SC 57105
Mailing address
2500 W 46TH St Ste 100
Sioux Falls, SD 57105-6507
Phone (605) 335-3008
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1324 | Other | SD | BCBS, DAKOTACARE, UHS, AVERA, SANFORD |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.