CRISMAN DIXON & ASSOCIATES, P.C. (NPI# 1760597116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760597116 |
| Entity Type | Organization |
| Organization Name | CRISMAN DIXON & ASSOCIATES, P.C. |
| Other Organization Name | BACK TO HEALTH WELLNESS CLINIC |
| Practice Address |
343 Quincy St Suite 100 Rapid City SD 57701-3700 |
| Mailing Address |
343 Quincy Street Suite 100 Rapid City SD 57701-3700 |
| Practice Telephone | 6057187312 |
| Practice Fax Number | 6057189008 |
| Mailing Telephone | 6057187312 |
| Mailing Fax Number | 6057189008 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2008-03-20 |
| Authorized Official Name | DR. BRUCE ALVIN CRISMAN (PRESIDENT) |
| Authorized Official Telephone | 6057187312 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 774 | SD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 7600534 | 05 |
| Other Name | Type Code |
|---|---|
| Back to Health Wellness Clinic | Doing Business As Name - Organization |
| Street Address |
343 QUINCY ST SUITE 100 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407835697 | Osteoporosis Screening Center | Specialist | 343 Quincy St, Suite 105, Rapid City, SD 57701-3797 | 2006-01-16 |
| 1154768364 | Robert James Kuyper | Chiropractor | 343 Quincy St, Suite 100, Rapid City, SD 57701-3797 | 2013-05-29 |
| 1285748467 | Dakota Cardiovascular, P.C. | Internal Medicine | 343 Quincy St, #104, Rapid City, SD 57701-3700 | 2006-08-18 |
| 1760596928 | Kelly Vaughn-whitley | Internal Medicine | 343 Quincy St, #104, Rapid City, SD 57701-3700 | 2006-08-17 |
| 1164460192 | Determan Chiropractic Inc. | Chiropractor | 343 Quincy St, Suite 103, Rapid City, SD 57701-3797 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437547155 | Solutions Chiropractic Clinic, LLC | Clinic/Center | 405 E Omaha St Ste D, Rapid City, SD 57701 | 2015-01-05 |
| 1063664654 | Swanson Chiropractic, P.C. | Clinic/Center | 420 E Saint Patrick St, 101, Rapid City, SD 57701-4202 | 2008-10-15 |
| 1497920193 | Dr. Kendall Anderson, P.C. | Clinic/Center | 3618 Canyon Lake Drive, Suite 114, Rapid City, SD 57702-3129 | 2008-04-24 |
| 1366589475 | Clinch Family Chiropractic PC | Clinic/Center | 660 N Maple Ave, Rapid City, SD 57701-1506 | 2007-01-30 |
| 1275553463 | Monument Health Rapid City Hospital, Inc. | Clinic/Center | 725 Meade St, Rapid City, SD 57701-5334 | 2006-07-20 |
| 1346849478 | Advanced Ent and Allergy Center of The Black Hills, Prof LLC | Clinic/Center | 4940 5th St Ste 2b, Rapid City, SD 57701-6026 | 2020-10-20 |
| 1760834162 | Independent Eyes LLC | Clinic/Center | 808 Mount Rushmore Rd, Rapid City, SD 57701-3603 | 2016-07-08 |
| 1477938835 | Looping Professionals LLC | Clinic/Center | 2120 W Main St, Ste 7, Rapid City, SD 57702-2465 | 2015-07-28 |
| 1477941060 | Schielke Chiropractic, Pllc | Clinic/Center | 2720 W Main St, Suite #2, Rapid City, SD 57702-8128 | 2015-01-05 |
| 1538598370 | Integrated Eye Care Prof. LLC | Clinic/Center | 685 Mountain View Rd, Rapid City, SD 57702-2518 | 2013-11-02 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on CRISMAN DIXON & ASSOCIATES, P.C..
| 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.