PARKSIDE CHIROPRACTIC CENTER PC NPI 1679741250

NPI Information

NPI: 1679741250
Provider Name: PARKSIDE CHIROPRACTIC CENTER PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
505 KANSAS CITY ST
SUITE 1
RAPID CITY, SD
ZIP 57701
Phone: (605) 343-2800
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PARKSIDE CHIROPRACTIC CENTER PC is a chiropractor in Rapid City, 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. PARKSIDE CHIROPRACTIC CENTER PC NPI is 1679741250. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

505 KANSAS CITY ST
SUITE 1
RAPID CITY, SD
ZIP 57701-673
Phone: (605) 343-2800
Fax: (605) 388-8082

The provider's authorized official is Jeffrey D Burns .
The authorized official title is Doctor Of Chiropractic/president and has the following contact phone number (605) 343-2800.

The enumeration date for this NPI number is 2/15/2008 and was last updated on 2/19/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		779	SOUTH DAKOTA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	350051174	OTHER	SOUTH DAKOTA	RAILROAD MEDICARE
2	U40705	MEDICARE UPIN	SOUTH DAKOTA
3	7600525	MEDICAID	SOUTH DAKOTA
4	S78522	MEDICARE PIN	SOUTH 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

NPI Synchronization or Removal

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