Organization Active NPI

Laura Berg, PC

  • Chiropractor
  • Sioux Falls, SD
National Provider Identifier
1992739437
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1060 Issued in SD
Legal business name
LAURA BERG, PC
Practice address
1905 W 57TH St Ste 3
Sioux Falls, SD 57108-2893
Phone
(605) 371-3533
Fax
(605) 371-1781
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Authorized official

Name
Laura Michele Berg, DCNPI 1528056058
Title
Owner
Phone
(605) 371-3533

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 1060 SD Primary

Addresses

Primary practice location

1905 W 57TH St Ste 3
Sioux Falls, SD 57108-2893

Mailing address

1905 W 57TH St Ste 3
Sioux Falls, SD 57108-2893
Phone (605) 371-3533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060818000021 SD Part B Supplier - Clinic/Group Practice 3274536933 Receives reassigned benefits from 1 practitioner
Practice locations: Sioux Falls, 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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1992739437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W 57TH ST STE 3",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082893",
            "telephone_number": "605-371-3533",
            "fax_number": "605-371-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W 57TH ST STE 3",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082893",
            "telephone_number": "605-371-3533",
            "fax_number": "605-371-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA BERG, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-371-3533",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.