LARRY NICKELSON (NPI# 1518936210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518936210 |
| Entity Type | Individual |
| Full Name | LARRY NICKELSON |
| Credential | DC |
| Practice Address |
207 E 3rd St Miller SD 57362-1426 |
| Practice Telephone | 6058532230 |
| Practice Fax Number | 6058533111 |
| Mailing Telephone | 6058532230 |
| Mailing Fax Number | 6058533111 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2008-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 638 | SD | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | BSSD | 0080147 | 01 |
| SD | AMPPO | 512482 | 01 |
| SD | BSSD | 4999850 | 01 |
| SD | BSSD | 4999860 | 01 |
| SD | 7602083 | 05 | |
| SD | 7602085 | 05 | |
| SD | BSSD | 0006716 | 01 |
| SD | BSSD | 4999757 | 01 |
| SD | 7602082 | 05 | |
| SD | 7602084 | 05 | |
| SD | 7602080 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609254077 | Larry Nickelson | Physical Therapy Assistant | 916 Noble St, Alva, OK 73717-2852 | 2015-05-18 |
| Street Address |
207 E 3RD ST |
| City | MILLER |
| State | SD |
| Zip Code | 57362-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598111049 | Taylor Carr | Chiropractor | 207 E 3rd St, Miller, SD 57362-1426 | 2016-05-13 |
| 1265766935 | Joshua S Carr | Chiropractor | 207 E 3rd St, Miller, SD 57362-1426 | 2009-09-28 |
| 1750425013 | Carr Chiropractic Clinics PC | Chiropractor | 207 E 3rd St, Miller, SD 57362-1426 | 2007-02-19 |
| 1609845981 | John S Carr | Chiropractor | 207 E 3rd St, Miller, SD 57362-1426 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629268230 | Miller Area School District #29-3 | Local Education Agency (LEA) | 623 East 4th Street, Miller, SD 57362-0257 | 2007-07-30 |
| 1053892364 | Ana-marie Joy Nelson | Physical Therapist | 306 W 2nd St, Miller, SD 57362-1202 | 2018-08-24 |
| 1245295237 | Hand County Memorial Hospital | Assisted Living Facility | 318 W 5th St, Miller, SD 57362-1238 | 2006-04-20 |
| 1083679625 | Avera Mckennan | Clinic/Center | 300 W 5th St, Miller, SD 57362-1238 | 2006-04-18 |
| 1235619024 | Cynthia Binger | Physical Therapy Assistant | 300 W 5th St, Miller, SD 57362-1238 | 2018-08-21 |
| 1376020040 | Bobbi Jo Peterson | Physical Therapy Assistant | 300 W 5th St, Miller, SD 57362-1238 | 2018-07-25 |
| 1932686946 | Denae Schlechter | Physical Therapy Assistant | 300 W 5th St, Miller, SD 57362-1238 | 2018-07-23 |
| 1689181364 | Kelsey Marie Johnson | Dietitian, Registered | 300 W 5th St, Miller, SD 57362-1238 | 2018-01-04 |
| 1205294469 | Justin Ward | Nurse Practitioner | 300 W 5th St, Miller, SD 57362-1238 | 2016-02-03 |
| 1982088514 | Caitlyn Ingle | Physical Therapist | 300 W 5th St, Miller, SD 57362-1238 | 2015-07-14 |
| Find all providers in zip 57362 | ||||
| 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 |
|---|---|---|---|---|
| 1598111049 | Taylor Carr | Chiropractor | 207 E 3rd St, Miller, SD 57362-1426 | 2016-05-13 |
| 1265766935 | Joshua S Carr | Chiropractor | 207 E 3rd St, Miller, SD 57362-1426 | 2009-09-28 |
| 1609845981 | John S Carr | Chiropractor | 207 E 3rd St, Miller, SD 57362-1426 | 2006-03-17 |
| 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.