Individual provider Active NPI

Jesse Lee Babcock, DC

  • Chiropractor
  • Aberdeen, SD
National Provider Identifier
1982318689
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1454 Issued in SD
Practice address
221 6TH Ave SE
Aberdeen, SD 57401-4362
Phone
(605) 229-1212
NPI assigned
Jan 9, 2023
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1454 SD Primary
Acupuncturist 171100000X 1454 SD

Addresses

Primary practice location

221 6TH Ave SE
Aberdeen, SD 57401-4362

Mailing address

919 Willow Dr
Aberdeen, SD 57401-1277
Phone (605) 252-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230119002116 SD Practitioner - ChiropracticPractitioner - Other (Physician) 1456722933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Babcock Family Chiropractic, LLCGroup PAC ID 6103197140, 3 clinicians

Practice addresses (Care Compare)

221 6TH Ave SE
Suite 1
Aberdeen, SD 57401-4326
Phone (605) 229-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Babcock Family Chiropractic, LLC Chiropractor CurrentSince Jan 11, 2023 Accepting new patients
Mark a. Bledsoe Chiropractor Past Accepting new patients

Locations

221 6th Ave SE
Ste 1
Aberdeen, SD 57401
Phone (605) 229-1212

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1982318689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 WILLOW DR",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574011277",
            "telephone_number": "605-252-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 6TH AVE SE",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014362",
            "telephone_number": "605-229-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "JESSE",
        "middle_name": "LEE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1454",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "SD",
            "license": "1454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.