Provider Type Icon

SIOUX SPINE AND SPORT PROF.L.L.C. NPI 1619387339


NPI Information

NPI: 1619387339
Provider Name: SIOUX SPINE AND SPORT PROF.L.L.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5412 W 26TH ST
SIOUX FALLS, SD
ZIP 57106
Phone: (605) 362-1230
Get Directions

SIOUX SPINE AND SPORT PROF.L.L.C. is a chiropractor in Sioux Falls, SD. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. SIOUX SPINE AND SPORT PROF.L.L.C. NPI is 1619387339. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5412 W 26TH ST
SIOUX FALLS, SD
ZIP 57106-604
Phone: (605) 362-1230
Fax: (605) 323-0052

The provider's authorized official is Wade Thomas Scheurenbrand .
The authorized official title is Owner/chiropractor and has the following contact phone number (605) 362-1230.

The enumeration date for this NPI number is 5/2/2014 and was last updated on 5/2/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor1024SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1S41799MEDICARE UPINSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.