Organization Active NPI

Foell PC

Doing business as Chiropractic In Motion

  • Chiropractor
  • Milbank, SD
National Provider Identifier
1972708089
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1018 Issued in SD
Legal business name
FOELL PC
Doing business as
Chiropractic In Motion
Practice address
304 E 4TH Ave
Milbank, SD 57252-2545
Phone
(605) 432-6418
Fax
(605) 432-6418
NPI assigned
Jun 19, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Matthew Ryan Foell, DOCNPI 1598733446
Title
Chiropracter
Phone
(605) 432-6418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1018 SD Primary

Addresses

Primary practice location

304 E 4TH Ave
Milbank, SD 57252-2545

Mailing address

304 E 4TH Ave
Milbank, SD 57252-2545
Phone (605) 432-6418

Other identifiers 2

IdentifierTypeStateIssuer
5841101MedicaidMN
7601790MedicaidSD

Other names 1

  • Chiropractic In Motion Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413000333 SD Part B Supplier - Clinic/Group Practice 2769476753 Receives reassigned benefits from 1 practitioner
Practice locations: Milbank, SD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1972708089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E 4TH AVE",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572522545",
            "telephone_number": "605-432-6418",
            "fax_number": "605-432-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E 4TH AVE",
            "city": "MILBANK",
            "state": "SD",
            "postal_code": "572522545",
            "telephone_number": "605-432-6418",
            "fax_number": "605-432-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOELL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "FOELL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CHIROPRACTER",
        "authorized_official_telephone_number": "605-432-6418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5841101",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7601790",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic In Motion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milbank, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.