CLAY STUART RUNYAN (NPI# 1356463178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356463178 |
| Entity Type | Individual |
| Full Name | CLAY STUART RUNYAN |
| Credential | DC |
| Practice Address |
1109 Main St Spearfish SD 57783-1424 |
| Practice Telephone | 6056427111 |
| Practice Fax Number | 6056441334 |
| Mailing Telephone | 6056427111 |
| Mailing Fax Number | 6056441334 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 744 | SD | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | BCBS WELLMARK | 0080135 | 01 |
| SD | 7603220 | 05 |
| Street Address |
1109 MAIN ST |
| City | SPEARFISH |
| State | SD |
| Zip Code | 57783-1424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386091338 | Acupuncture of The Black Hills, LLC | Acupuncturist | 144 N. Main St., Spearfish, SD 57783 | 2016-05-19 |
| 1568695013 | Krew Enterprises, Inc Bda Comfort Keepers, 490 | Home Health | 119 East Grant Street, Ste 1, Spearfish, SD 57783 | 2009-09-01 |
| 1518193093 | Lorri A. Riley, Dpm PC | Podiatrist | 1410 North Ave #1, Spearfish, SD 57783 | 2009-06-10 |
| 1104065317 | Heather Rae Glasford | Speech-Language Pathologist | 1107 Charles Street, Spearfish, SD 57783 | 2009-02-11 |
| 1861605230 | Justin Bruce Johnson | Chiropractor | 4029 E. Colorado Blvd, Spearfish, SD 57783 | 2007-05-08 |
| 1467670976 | Karin Wood | Counselor | 146 W. Illinois St., Ste A, Spearfish, SD 57783 | 2007-04-22 |
| 1205999315 | Black Hills Counseling Services | Counselor | 146 W Illinois Street, Suite A, Spearfish, SD 57783 | 2006-12-19 |
| 1154489920 | Brooke Melody Hvachovec Thompson | Occupational Therapist | Spearfish Regional Hospital, 1440 N Main Street, Spearfish, SD 57783 | 2006-12-05 |
| 1780758060 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 428 E Colorado Blvd, Spearfish, SD 57783 | 2006-11-20 |
| 1063584423 | Regional Health Physicians Inc | Durable Medical Equipment & Medical Supplies | 1420 N. 10th Street, Spearfish, SD 57783 | 2006-11-14 |
| Find all providers in zip 57783 | ||||
| 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 |
|---|---|---|---|---|
| 1396210720 | Marina Kimball | Chiropractor | 311 N 27th St Ste 2, Spearfish, SD 57783-3213 | 2018-10-12 |
| 1598262651 | Jesse Taylor Kimball | Chiropractor | 311 N 27th St Ste 1, Spearfish, SD 57783-3213 | 2018-04-06 |
| 1639435274 | Runyan Chiropractic PC | Chiropractor | 1109 N Main St, Spearfish, SD 57783-1424 | 2012-04-09 |
| 1447571724 | Eklund Chiropractic PC | Chiropractor | 526 W Jackson Blvd, Spearfish, SD 57783-1909 | 2010-06-21 |
| 1881832194 | Lee Earll Eklund | Chiropractor | 4029 E Colorado Blvd, Spearfish, SD 57783-9490 | 2009-01-23 |
| 1861605230 | Justin Bruce Johnson | Chiropractor | 4029 E. Colorado Blvd, Spearfish, SD 57783 | 2007-05-08 |
| 1093881260 | Dean L Johnson | Chiropractor | 710 E Colorado Blvd, Suite A, Spearfish, SD 57783-4701 | 2006-11-28 |
| 1801900378 | Anthony Lawrence Hintgen | Chiropractor | 712 N 12th St, Spearfish, SD 57783-2239 | 2006-08-19 |
| 1356355853 | John S Nelson | Chiropractor | 1930 North Ave, Spearfish, SD 57783-0127 | 2006-07-28 |
| 1447281688 | Kenneth W Zuercher II | Chiropractor | 110 East Grant Street, Spearfish, SD 57783 | 2006-07-05 |
| Find all providers in SPEARFISH | ||||
Please comment or provide details below to improve the information on CLAY STUART RUNYAN.
| 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.