DR. JUSTIN WADE MCKILLIP (NPI# 1407013394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407013394 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN WADE MCKILLIP |
| Credential | D.C. |
| Practice Address |
1829 6th St Brookings SD 57006-1606 |
| Practice Telephone | 6056922251 |
| Practice Fax Number | 6056922255 |
| Mailing Telephone | 6056922251 |
| Mailing Fax Number | 6056922255 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2015-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1133 | SD | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 7605010 | 05 |
| Street Address |
1829 6TH ST |
| City | BROOKINGS |
| State | SD |
| Zip Code | 57006-1606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194987024 | Mckillip Chiropractic PC | Chiropractor | 1829 6th St, Brookings, SD 57006-1606 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685845 | Leah Kroeger | Specialist/Technologist | 2820 Stanley J Marshall Center, Brookings, SD 57006 | 2020-10-01 |
| 1619454774 | Alec Edward Weis | Student in an Organized Health Care Education/Training Program | 314 Main Ave Apt 4., Brookings, SD 57006 | 2018-07-22 |
| 1629569066 | Robin Lynn Erz | Counselor | East Central Behavioral Health, 211 4th Street, Brookings, SD 57006 | 2018-05-22 |
| 1982057246 | City of Brookings | Clinic/Center | 310 22nd Avenue, Brookings, SD 57006 | 2016-07-21 |
| 1922413806 | Avera Mckennan | Clinic/Center | 400 2nd Ave, Brookings, SD 57006 | 2014-06-30 |
| 1093157554 | Nathan William Hilbrands | Dentist | 427 8th St S, Brookings, SD 57006 | 2013-07-25 |
| 1992073951 | Andrea Uckert | Counselor | 619 5th Ave Ste 3, Brookings, SD 57006 | 2011-12-06 |
| 1972800100 | Melissa Ann Klemm | Counselor | 1304 Main Ave S, Brookings, SD 57006 | 2011-02-24 |
| 1285873539 | Amy Lynn Osterberg | Counselor | 211 4th St., East Central Mh/cd Center Inc, Brookings, SD 57006 | 2009-02-10 |
| 1114062072 | Kendalls Rexall Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 223 6th St, Brookings, SD 57006 | 2007-02-20 |
| Find all providers in zip 57006 | ||||
| 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 |
|---|---|---|---|---|
| 1417565185 | Alternative Health Centers of Brookings | Chiropractor | 100 22nd Ave S, Brookings, SD 57006-2654 | 2020-07-20 |
| 1699212928 | Crevier Chiropractic LLC | Chiropractor | 2410 Sunrise Ridge Cir, #108, Brookings, SD 57006-2482 | 2017-01-25 |
| 1427410422 | Anderson Chiropractic, Inc | Chiropractor | 411 Mill Beach Rd Ste A, Brookings, OR 97415-9690 | 2016-03-28 |
| 1902214992 | Chad Anderson | Chiropractor | 411 Mill Beach Rd, Ste A, Brookings, OR 97415-9690 | 2014-07-23 |
| 1629314901 | Lamer Chiropractic and Wellness, LLC | Chiropractor | 958 22nd Ave S, Brookings, SD 57006-2830 | 2012-12-14 |
| 1275779647 | Willert Enterprises PC | Chiropractor | 405 Main Ave, Brookings, SD 57006-1935 | 2009-01-06 |
| 1063678506 | Jason Scott Flaskey | Chiropractor | 1722 6th St, Brookings, SD 57006-2329 | 2008-08-04 |
| 1952504888 | Wendy Blymyer | Chiropractor | 610 5th St Ste C, Brookings, OR 97415-9199 | 2007-06-07 |
| 1184744401 | Charles Michael Bourland | Chiropractor | 524 Spruce St, Brookings, OR 97415 | 2007-03-30 |
| 1396841573 | Anthony Paul Murray | Chiropractor | 750 22nd Ave S, Brookings, SD 57006-2822 | 2006-09-15 |
| Find all providers in BROOKINGS | ||||
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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.