JEFFREY BLAINE RANDALL D.C. NPI 1952469967

NPI Information

NPI: 1952469967
Provider Name: JEFFREY BLAINE RANDALL, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
434 S KIWANIS AVE
SUITE A
SIOUX FALLS, SD
ZIP 57104
Phone: (605) 332-7706
Get Directions

Jeffrey Blaine Randall, D.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. Jeffrey Blaine Randall, D.C. NPI is 1952469967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

434 S KIWANIS AVE
SUITE A
SIOUX FALLS, SD
ZIP 57104-710
Phone: (605) 332-7706
Fax: (605) 332-2430

The enumeration date for this NPI number is 12/4/2006 and was last updated on 12/4/2007.

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		1099	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	29C03RA	OTHER	MINNESOTA	BC/BS
2	7603990	MEDICAID	SOUTH DAKOTA
3	U59943	MEDICARE UPIN	SOUTH DAKOTA
4	S4329	MEDICARE PIN	SOUTH DAKOTA
5	0004329	OTHER	SOUTH DAKOTA	BC/BS

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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