NORTHEAST CHIROPRACTIC, INC.
NPI 1912385741
Chiropractor in Aberdeen, SD

Active since May 13, 2015CLIA 43D2092495 · Waiver
508 S BOYD ST, ABERDEEN, SD 57401(605) 262-4059(605) 262-4060 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 4, 2023, Nov 7, 2022 (2 updates tracked since 2022).

About Northeast Chiropractic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST CHIROPRACTIC, INC. (NPI 1912385741) is a healthcare organization registered as a chiropractor in Aberdeen, South Dakota and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through March 5, 2027 and lists Taylor Ross Anderson, Doctor Of Chiropractic, as its authorized official.

NPPES Registry Identity

NPI1912385741
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameNORTHEAST CHIROPRACTIC, INC.
Location Address508 S BOYD STAberdeen, SD 57401-4953
Mailing Address508 S Boyd StAberdeen, SD 57401-4953
Fax(605) 262-4060
Organization SubpartNo
Authorized OfficialTaylor Ross AndersonDoctor Of Chiropractic · (605) 262-4059
Enumeration DateMay 13, 2015
Last NPPES UpdateJanuary 4, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2023
✔ NPI 1912385741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SD · 1224
Definition
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.
508 S BOYD ST, Aberdeen, SD 57401

Other Identifiers 1

Medicaid1912385741SD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Chiropractic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northeast Chiropractic, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1699019950
508 S BOYD ST
Aberdeen, SD 57401
(605) 262-4059
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D2092495

Northeast Chiropractic · Aberdeen, SD
Active · expires Mar 5, 2027
CLIA Number43D2092495
Laboratory TypePractitioner Other
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorTaylor Anderson
Laboratory Phone(605) 262-4059
Laboratory LocationNortheast Chiropractic508 South Boyd St, Aberdeen, SD 57401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Chiropractic, Inc.'s NPI number?

The NPI number for Northeast Chiropractic, Inc. is 1912385741. It was assigned to this organization in the NPPES registry on May 13, 2015.

Where is Northeast Chiropractic, Inc. located?

Northeast Chiropractic, Inc. is located at 508 S Boyd St, Aberdeen, SD 57401. The listed phone number is (605) 262-4059.

What is Northeast Chiropractic, Inc.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Northeast Chiropractic, Inc. enrolled in Medicare?

Yes. Northeast Chiropractic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Chiropractic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Northeast Chiropractic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northeast Chiropractic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D2092495) is associated with this NPI, valid through March 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeast Chiropractic, Inc. accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Northeast Chiropractic, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northeast Chiropractic, Inc. was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.