Active NPI
Dakota Chiropractic & Wellness Center Prof LLC
- Chiropractor
- Sioux Falls, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1009
- Legal business name
- DAKOTA CHIROPRACTIC & WELLNESS CENTER PROF LLC
- Practice address
- 5124 S Western Ave
Ste 1
Sioux Falls, SD 57108 - Phone
- (605) 339-3300
- Fax
- (605) 339-8880
- NPI assigned
- Jan 30, 2006
- Last updated
- Oct 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert George McCoy, DC
- Title
- Member Manager
- Phone
- (605) 339-3300
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1009 | SD | Primary |
| Chiropractor | 111N00000X | 1008 | SD |
Addresses
Primary practice location
5124 S Western Ave
Ste 1
Sioux Falls, SD 57108
Mailing address
5124 S Western Ave
Ste 1
Sioux Falls, SD 57108
Phone (605) 339-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5124 S Western Ave
Ste 1
Sioux Falls, SD 57108
Phone (605) 339-3300
5124 S Western Ave
Ste A
Sioux Falls, SD 57108
Phone (605) 339-3300
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.
-
- Chiropractor
- Sioux Falls, SD
- NPI 1679621064
-
- Chiropractor
- Sioux Falls, SD
- NPI 1609924000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192147200000",
"number": "1992776876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5124 S WESTERN AVE",
"address_2": "STE 1",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "57108",
"telephone_number": "605-339-3300",
"fax_number": "605-339-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5124 S WESTERN AVE",
"address_2": "STE 1",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "57108",
"telephone_number": "605-339-3300",
"fax_number": "605-339-8880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAKOTA CHIROPRACTIC & WELLNESS CENTER PROF LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-30",
"last_updated": "2007-10-12",
"status": "A",
"authorized_official_last_name": "MCCOY",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "MEMBER MANAGER",
"authorized_official_telephone_number": "605-339-3300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "SD",
"license": "1009",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "SD",
"license": "1008",
"primary": false
}
],
"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 Oct 12, 2007; 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.