Organization Active NPI

Parker Chiropractic PC

  • Chiropractor
  • Parker, SD
National Provider Identifier
1982855441
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
900 Issued in 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
Last updated
Aug 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Authorized official

Name
Dr. Gregory S Long, D.C
Title
President
Phone
(605) 929-9976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 900 SD Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090122000256 SD Part B Supplier - Clinic/Group Practice 0941364822 Receives reassigned benefits from 1 practitioner
Practice locations: Parker, SD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1982855441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 N. MAIN AVE.",
            "address_2": "PO BOX 88",
            "city": "PARKER",
            "state": "SD",
            "postal_code": "57053",
            "telephone_number": "605-297-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N. MAIN AVE.",
            "city": "PARKER",
            "state": "SD",
            "postal_code": "57053",
            "telephone_number": "605-297-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-929-9976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.