Organization Active NPI

Custer Chiropractic, P.C.

  • Chiropractor
  • Custer, SD
National Provider Identifier
1992355978
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CUSTER CHIROPRACTIC, P.C.
Practice address
246 N 5TH St
Custer, SD 57730-1506
Phone
(605) 673-5971
Fax
(605) 673-5972
NPI assigned
Sep 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Authorized official

Name
Jenny K Meckle, DCNPI 1629413679
Title
Chiropractor/Owner
Phone
(605) 673-5971

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

246 N 5TH St
Custer, SD 57730-1506

Mailing address

246 N 5TH St
Custer, SD 57730-1506
Phone (605) 673-5971

National Provider Directory

National Provider Directory

Locations

246 N 5th St
Custer, SD 57730
Phone (605) 673-5971

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1992355978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 N 5TH ST",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577301506",
            "telephone_number": "605-673-5971",
            "fax_number": "605-673-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 N 5TH ST",
            "city": "CUSTER",
            "state": "SD",
            "postal_code": "577301506",
            "telephone_number": "605-673-5971",
            "fax_number": "605-673-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTER CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "MECKLE",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "605-673-5971",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Custer, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.