DYNAMIC CHIROPRACTIC PROF LLC (NPI# 1255896072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255896072 |
| Entity Type | Organization |
| Organization Name | DYNAMIC CHIROPRACTIC PROF LLC |
| Practice Address |
310 E Main St Parkston SD 57366 |
| Mailing Address |
Po Box 417 Parkston SD 57366-0417 |
| Practice Telephone | 6059285000 |
| Mailing Telephone | 6056619639 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-05-26 |
| Authorized Official Name | DR. LINDSEY M SIVERTSEN (DOCTOR, MANAGER, OWNER) |
| Authorized Official Telephone | 6056619639 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 1154752640 | 05 |
| Street Address |
310 E MAIN ST |
| City | PARKSTON |
| State | SD |
| Zip Code | 57366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578635108 | Varney Pharmacy LLC | Pharmacy | 102 West Main, Parkston, SD 57366 | 2006-11-15 |
| 1821185414 | St Benedict Health Center | Assisted Living Facility | 401 W Glynn Drive, Parkston, SD 57366 | 2006-10-06 |
| 1215959770 | Leroy Kaufman | Optometrist | 118 E Main, Parkson, SD 57366 | 2006-07-24 |
| 1912990565 | Jessica Ann Wolf | Chiropractor | 103 West Glynn Drive, Parkston, SD 57366 | 2005-08-30 |
| 1730208919 | Parkston Rural Ambulance District | Ambulance | 207 W Main St, Parkston, SD 57366 | 2007-03-28 |
| 1922196385 | St Benedict Health Center | Skilled Nursing Facility | 401 W Glynn Drive, Parkston, SD 57366 | 2006-10-11 |
| 1285659466 | Parkston Chiropractic Clinic, Prof. L.L.C. | Chiropractor | 103 West Glynn Drive, Parkston, SD 57366 | 2006-07-12 |
| 1508933714 | Thomas Herman Neumayr | Pharmacist | 112 S Main St, Parkston, SD 57366-0430 | 2006-11-30 |
| 1801917281 | Parkston Drug Inc | Durable Medical Equipment & Medical Supplies | 112 W Main St, Parkston, SD 57366-2010 | 2007-04-03 |
| 1316118904 | Parkston School District | Local Education Agency (LEA) | 102 C S Chapman Dr, Parkston, SD 57366-2017 | 2008-03-21 |
| Find all providers in zip 57366 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528032414 | Mark A. Werning | Chiropractor | 708 W Main St, Parkston, SD 57366-2100 | 2006-02-15 |
| 1912990565 | Jessica Ann Wolf | Chiropractor | 103 West Glynn Drive, Parkston, SD 57366 | 2005-08-30 |
| 1912234956 | Werning Chiropractic, PC | Chiropractor | 708 W Main St, Parkston, SD 57366-2100 | 2009-11-12 |
| 1285659466 | Parkston Chiropractic Clinic, Prof. L.L.C. | Chiropractor | 103 West Glynn Drive, Parkston, SD 57366 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911552 | Allison La Voie | Chiropractor | 3620 Lime Creek Dr, Rapid City, SD 57702-2302 | 2020-10-26 |
| 1124637889 | Rylee Lynn Anderson | Chiropractor | 1612 13th Ave, Belle Fourche, SD 57717-2156 | 2020-07-29 |
| 1417565185 | Alternative Health Centers of Brookings | Chiropractor | 100 22nd Ave S, Brookings, SD 57006-2654 | 2020-07-20 |
| 1861015877 | Harley Martinmaas | Chiropractor | 3801 W 34th St Ste 105, Sioux Falls, SD 57106-4310 | 2020-05-26 |
| 1770122970 | Shane Anthony Wernke | Chiropractor | 3717 S Grange Ave, Sioux Falls, SD 57105-6329 | 2020-01-06 |
| 1396384210 | Cooper Dykstra | Chiropractor | 2221 W Russell St, Sioux Falls, SD 57104-1105 | 2019-12-23 |
| 1154967909 | Begin Within Family Chiropractic | Chiropractor | 700 S Main Ave Ste 4, Platte, SD 57369-2140 | 2019-11-26 |
| 1154967925 | Kyle Benne | Chiropractor | 2335 W Main St Ste 330, Rapid City, SD 57702-2435 | 2019-11-26 |
| 1700433174 | Origin Health - Chiropractic & Wellness, Prof. LLC | Chiropractor | 5800 E 18th St Ste 102, Sioux Falls, SD 57110-2711 | 2019-08-21 |
| 1043866114 | Keiser Chiropractic Prof., LLC | Chiropractor | 4009 W 49th St Ste 310, Sioux Falls, SD 57106 | 2019-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.