Parker Chiropractic PC
Organization Active NPI Chiropractor · Parker, SD
NPI 1982855441 · NPPES record last updated Aug 21, 2009
Key facts
- NPI
- 1982855441
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 900 (SD)
- Legal business name
- PARKER CHIROPRACTIC PC
- Practice address
- 380 N. Main Ave.
Parker, SD 57053 - Phone
- (605) 297-4481
- NPI assigned
- Oct 2, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Gregory S Long, D.C
- Title
- President
- Phone
- (605) 929-9976
Practitioners 2
-
Greg S Long, DC
-
John S. Chicoine, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090122000256 | SD | Part B Supplier - Clinic/Group Practice | 0941364822 |
Receives reassigned benefits from 1 practitioner Practice locations: Parker, SD |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 900 | SD | Yes |
Addresses
Primary practice location
380 N. Main Ave.
Parker, SD 57053
Mailing address
380 N. Main Ave.
PO Box 88
Parker, SD 57053
Phone (605) 297-4481
Other providers in Parker, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.