Active NPI
Lance R Fredrickson DC PC
- Chiropractor
- Sioux Falls, SD
National Provider Identifier
1972641744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1010
- 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 DirectoryLocations
5024 S Bur Oak Pl
Ste 103
Sioux Falls, SD 57108
Phone (605) 271-8277
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1010 | SD | Primary |
Addresses
NPPES NPI RegistryPrimary 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.