NPIMap

Organization Active NPI

Leah M Thielen

Doing business as Thielen Chiropractic Clinic

  • Clinic/Center
  • Sisseton, SD
National Provider Identifier
1972615995
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LEAH M THIELEN
Doing business as
Thielen Chiropractic Clinic
Practice address
1920 South Dakota Hwy 10
Sisseton, SD 57262-2512
Phone
(605) 698-3522
Fax
(605) 698-4465
NPI assigned
Aug 31, 2006
Last updated
Feb 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Leah Meyer Thielen, DCNPI 1164595138
Title
Owner
Phone
(605) 698-3522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1920 South Dakota Hwy 10
Sisseton, SD 57262-2512

Mailing address

1920 South Dakota Hwy 10
Sisseton, SD 57262-2512
Phone (605) 698-3522

Other identifiers 4

IdentifierTypeStateIssuer
3C877THOtherMNBCBS
12608MedicaidND
016355400MedicaidMN
4999408OtherSDBCBS

Other names 1

  • Thielen Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1920 SD Highway 10
Sisseton, SD 57262
Phone (605) 698-3522

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1972615995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 SOUTH DAKOTA HWY 10",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572622512",
            "telephone_number": "605-698-3522",
            "fax_number": "605-698-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 SOUTH DAKOTA HWY 10",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572622512",
            "telephone_number": "605-698-3522",
            "fax_number": "605-698-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAH M THIELEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "THIELEN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "MEYER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-698-3522",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3C877TH",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12608",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016355400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4999408",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thielen Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sisseton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.