Mary Kleinjan, DC DACRB FICPA DACCP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

811 Issued in SD

Practice address

1204 Main Ave S
Brookings, SD 57006-3839

Phone

(605) 692-4325

Fax

(605) 301-4141

NPI assigned

Apr 13, 2006

Last updated

Mar 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kleinjan Chiropractic LLCGroup PAC ID 7315929353, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kleinjan Chiropractic, LLC

  • Chiropractor
  • Brookings, SD
  • NPI 1174586887
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1972567345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 MAIN AVE S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570063839",
            "telephone_number": "605-692-4325",
            "fax_number": "605-692-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 MAIN AVE S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570063839",
            "telephone_number": "605-692-4325",
            "fax_number": "605-301-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINJAN",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DC DACRB FICPA DACCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7600564",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucy Margaret Kephart, MA, CCC-SLP
• Rodney King, PAC
• Amanda Lynn Kirkeby, MS
• Amy Klein, PHARMD
• Kleinjan Chiropractic, LLC
• Melissa Ann Klemm, NCC,LPC-MH,LAC,QMHP
• Jennifer Anne Klinkhammer, M.A., CCC-SLP
• Joshua James Klinkhammer, CRNA
• Kip A Kludt, PT
• Taylor Allen Kneip, OD

• Chiropractor in Brookings, SD
• Providers in Brookings, SD by specialty
• Chiropractor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.