Active NPI
Thomas L. Ivey, DC
- Chiropractor
- Aberdeen, SD
National Provider Identifier
1992771828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 571
- Practice address
- 221 6TH Ave SE
Suite 3
Aberdeen, SD 57401-4362 - Phone
- (605) 225-7414
- Fax
- (605) 225-7693
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 571 | SD | Primary |
Addresses
Primary practice location
221 6TH Ave SE
Suite 3
Aberdeen, SD 57401-4362
Mailing address
221 6TH Ave SE
Suite 3
Aberdeen, SD 57401-4362
Phone (605) 225-7414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76000060 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 571 | SD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Life Chiropractic, Inc | Chiropractor | Current | Accepting new patients |
| Legacy Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
221 6th Ave SE
Ste 3
Aberdeen, SD 57401
Phone (605) 225-7414
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 and National Provider Directory roles.
-
- Chiropractor
- Aberdeen, SD
- NPI 1114513686
-
- Chiropractor
- Aberdeen, SD
- NPI 1871728394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1992771828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 6TH AVE SE",
"address_2": "SUITE 3",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574014362",
"telephone_number": "605-225-7414",
"fax_number": "605-225-7693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 6TH AVE SE",
"address_2": "SUITE 3",
"city": "ABERDEEN",
"state": "SD",
"postal_code": "574014362",
"telephone_number": "605-225-7414",
"fax_number": "605-225-7693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVEY",
"first_name": "THOMAS",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SD",
"license": "571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "76000060",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.