BACK TO HEALTH WELLNESS CLINIC
NPI 1760597116
Clinic/Center in Rapid City, SD

NPI Status: Active since August 19, 2006

Contact Information

343 QUINCY ST
SUITE 100
RAPID CITY, SD
ZIP 57701
Phone: (605) 718-7312
Fax: (605) 718-9008

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  • Organization
  • Clinic/Center

About BACK TO HEALTH WELLNESS CLINIC

This page provides the complete NPI Profile along with additional information for Back To Health Wellness Clinic, a provider established in Rapid City, South Dakota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1760597116 assigned on August 2006. The practitioner's primary taxonomy code is 261Q00000X with license number 774 (SD). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Back To Health Wellness Clinic. The authorized official of this NPI record is Dr. Bruce Alvin Crisman D.c. (President)

NPI
1760597116
Provider Legal Name
CRISMAN DIXON & ASSOCIATES, P.C.
Other Organization Name
BACK TO HEALTH WELLNESS CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
343 QUINCY ST SUITE 100 RAPID CITY, SD 57701
Location Phone
(605) 718-7312
Location Fax
(605) 718-9008
Mailing Address
343 QUINCY STREET SUITE 100 RAPID CITY, SD 57701
Mailing Phone
(605) 718-7312
Mailing Fax
(605) 718-9008
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-19-2006
Last Update Date
03-20-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
774
License State
SD
Taxonomy Description
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).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BRUCE ALVIN CRISMAN D.C.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(605) 718-7312

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
S41464MEDICARE PIN (08)SD 
S41463MEDICARE ID-TYPE UNSPECIFIED (04)SDGROUP
U52882MEDICARE UPIN (02)SD 
7600534MEDICAID (05)SD 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760597116, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 1 + 0 + 9 + 1 + 4 + 1 + 2 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1760597116.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
343 QUINCY ST, #104
RAPID CITY, SD 57701
Chiropractor
343 QUINCY ST, SUITE 100
RAPID CITY, SD 57701
Specialist
343 QUINCY ST, SUITE 105
RAPID CITY, SD 57701
Chiropractor
343 QUINCY ST, SUITE 103
RAPID CITY, SD 57701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760597116, enumerated as an "organization" on August 19, 2006.

The provider is located at 343 QUINCY ST SUITE 100 RAPID CITY, SD 57701 and the phone number is (605) 718-7312.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.