DR. COOPER DYKSTRA (NPI# 1396384210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396384210 |
| Entity Type | Individual |
| Full Name | DR. COOPER DYKSTRA |
| Credential | DC |
| Practice Address |
2221 W Russell St Sioux Falls SD 57104-1105 |
| Practice Telephone | 6057997579 |
| Mailing Telephone | 6057997579 |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2020-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1375 | SD | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 6630 | MN | Chiropractic Providers |
| Street Address |
2221 W RUSSELL ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57104-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518594134 | Melissa Bader | Nurse Practitioner | 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 | 2020-03-24 |
| 1457995714 | Sanford Clinic | Clinic/Center | 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 | 2019-10-30 |
| 1427555002 | Sanford Clinic | Family Medicine | 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 | 2018-04-10 |
| 1033637210 | Anna Peasley | Speech-Language Pathologist | 710 W 18th St, Sioux Falls, SD 57104 | 2017-09-07 |
| 1699204313 | Sioux Falls Primary Home Care Services LLC | In Home Supportive Care | 201 N Minnesota Ave Ste 101l, Sioux Falls, SD 57104 | 2017-06-06 |
| 1093258808 | Megan Regina Wexler | Social Worker | 4510 N Lewis Ave, Sioux Falls, SD 57104 | 2016-11-28 |
| 1831645498 | Ryan Ortiz | Specialist/Technologist | 1908 1/2 Old Town Rd Nw, Albuquerque, NM 57104 | 2016-09-01 |
| 1881140622 | Kristine Carol Smith | Occupational Therapist | 601 N. Spring Ave, Hawthorne Elementary, Sioux Falls, SD 57104 | 2016-08-31 |
| 1215299292 | Jolene Mitchell | Preventive Medicine | 900 E 54th St N Ste 100, Sioux Falls, SD 57104 | 2012-06-14 |
| 1871874651 | Christine Marie Burg | Pharmacist | 2503 East 54th Street N., Medvantx Pharmacy Services, Sioux Falls, SD 57104 | 2011-09-07 |
| Find all providers in zip 57104 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1871051318 | David Carter | Chiropractor | 3700 S Kiwanis Ave Ste 3, Sioux Falls, SD 57105-4294 | 2019-03-04 |
| 1598236770 | Kylie Renee Keiser | Chiropractor | 1240 S Stoney Pointe Ct, Sioux Falls, SD 57106-3340 | 2018-12-16 |
| 1225507064 | Kinesio Prof LLC | Chiropractor | 7424 S Homan Pl Unit 8, Sioux Falls, SD 57108-8490 | 2018-11-23 |
| 1528557287 | Liberty Chiropractic LLC | Chiropractor | 5132 S Cliff Ave Ste 4, Sioux Falls, SD 57108-5434 | 2018-05-08 |
| 1184124935 | Haley Elizabeth Luond | Chiropractor | 4900 E 57th Street, Suite B, Sioux Falls, SD 57108 | 2018-02-19 |
| 1780191106 | Joel Christian Woo Martens | Chiropractor | 6705 S Cliff Ave, Sioux Falls, SD 57108-8585 | 2018-01-08 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57104 |
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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.