DR. CLYDE A DIEDE (NPI# 1447223821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447223821 |
| Entity Type | Individual |
| Full Name | DR. CLYDE A DIEDE |
| Credential | DC |
| Practice Address |
337 South Main St Winner SD 57580-1728 |
| Practice Telephone | 6058420544 |
| Practice Fax Number | 6058420544 |
| Mailing Telephone | 6058420544 |
| Mailing Fax Number | 6058420544 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2017-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 826 | SD | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | BCBS | 0003826 | 01 |
| NE | BCBS | 26403 | 01 |
| ACN | 410238 | 01 | |
| MIDLANDS CHOICE | 241873 | 01 | |
| ND | MEDICAID | 18336 | 01 |
| SIOUX VALLEY HEALTH PLAN | 33246 | 01 | |
| SD | 7600320 | 05 |
| Street Address |
337 SOUTH MAIN ST |
| City | WINNER |
| State | SD |
| Zip Code | 57580-1728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720328941 | Atlas Chiropractic of Winner, LLC | Chiropractor | 210 S. Main St, Suite #4, Winner, SD 57580 | 2013-02-25 |
| 1043350440 | Southern Plains Behavioral Health Services Inc | Community/Behavioral Health | 500 E 9th Street, Winner, SD 57580 | 2007-02-07 |
| 1275058752 | Madison Smither | Occupational Therapy Assistant | 745 E 8th St, Winner, SD 57580 | 2017-08-07 |
| 1205946878 | Lawrence G Gunner | Dentist | 825 E 8th St, Suite 203, Winner, SD 57580 | 2006-08-30 |
| 1750471298 | Melvin Herbert Harris I | Pharmacist | 1140 E 5th St, Winner, SD 57580-0070 | 2006-10-13 |
| 1760500805 | Cherlyn Leach | Counselor | 500 E 9th Street, Winner, SD 57580-0622 | 2007-03-27 |
| 1255539383 | Tera Lynn Pederson | Counselor | 500 E 9th St, Winner, SD 57580-0662 | 2007-07-10 |
| 1447458575 | Brooke Larae Hossle | Registered Nurse | 500 E 9th St, Winner, SD 57580-0662 | 2007-07-10 |
| 1487852596 | Courtney Paige Brozik | Social Worker | 500 E 9th St, Winner, SD 57580-0662 | 2007-07-10 |
| 1023216132 | Sandra Ellen Fortuna | Social Worker | 500 E 9th St, Winner, SD 57580-0662 | 2007-07-10 |
| Find all providers in zip 57580 | ||||
| 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 |
|---|---|---|---|---|
| 1720328941 | Atlas Chiropractic of Winner, LLC | Chiropractor | 210 S. Main St, Suite #4, Winner, SD 57580 | 2013-02-25 |
| 1972896579 | Thomas J Owen | Chiropractor | 911 Golden Prairie Dr, Winner, SD 57580-2176 | 2011-05-16 |
| 1801055025 | Clint Jordan Willuweit | Chiropractor | 210 S Main St, Suite 4, Winner, SD 57580-1426 | 2008-06-03 |
| 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.