Organization Active NPI

Lance R Fredrickson DC PC

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1972641744
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1010 Issued in SD
Legal business name
LANCE R FREDRICKSON DC PC
Practice address
101 W 69TH Street
Suite 100
Sioux Falls, SD 57108-2440
Phone
(605) 271-8277
Fax
(605) 271-7277
NPI assigned
Feb 2, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Amber Marie Bartmann
Title
Office Manager
Phone
(605) 271-8277

National Provider Directory

National Provider Directory

Locations

5024 S Bur Oak Pl
Ste 103
Sioux Falls, SD 57108
Phone (605) 271-8277

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1010 SD Primary

Addresses

NPPES NPI Registry

Primary practice location

101 W 69TH Street
Suite 100
Sioux Falls, SD 57108-2440

Mailing address

101 W 69TH Street
Suite 100
Sioux Falls, SD 57108-2440
Phone (605) 271-8277

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972641744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 69TH STREET",
            "address_2": "SUITE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082440",
            "telephone_number": "605-271-8277",
            "fax_number": "605-271-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 69TH STREET",
            "address_2": "SUITE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082440",
            "telephone_number": "605-271-8277",
            "fax_number": "605-271-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCE R FREDRICKSON DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTMANN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-271-8277"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.