MEDICARE: CHIROPRACTIC CENTER FOR HEALTHY LIVING PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NN0400X	Neurology Chiropractor	1040	SD
2	111NN0400X	Neurology Chiropractor	050115	FL
3	111N00000X	Chiropractor	1039	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SD00722	OTHER	SD	EID
2	42563	OTHER	SD	GROUP PIN

General Provider Information

NPI Number	:	1376721647
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIROPRACTIC CENTER FOR HEALTHY LIVING PC

Provider Business Mailing Address
First Line	:	1415 WEST HAVENS STREET
Second Line	:	SUITE 3
City	:	MITCHELL
State	:	SD
Zip	:	57301-4116
Country	:	US
Telephone Number	:	605-996-1160
Fax Number	:	605-996-6433

Provider Business Practice Location Address
First Line	:	1415 WEST HAVENS STREET
Second Line	:	SUITE 3
City	:	MITCHELL
State	:	SD
Zip	:	57301-4116
Country	:	US
Telephone Number	:	605-996-1160
Fax Number	:	605-996-6433

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	DR. SCOTT JAMES MULLENMEISTER
Credential	:	D.C.
Telephone Number	:	605-996-1160

Provider Enumeration Date	:	02/08/2008
Last Update Date	:	03/27/2012

Similar Medicare Providers

1811263106 — SANFORD MEDICAL CENTER
Practice Location Address:

1305 W HAVENS AVE
MITCHELL, SD
57301-4116

Practice Phone: 605-292-4000
Practice Fax:

1992774012 — LISA M THOMPSON PT
Practice Location Address:

1319 W HAVENS AVE
MITCHELL, SD
57301-4116

Practice Phone: 605-996-4778
Practice Fax: 605-996-3660

1821028531 — SCOTT J. MULLENMEISTER D.C.
Practice Location Address:

1415 WEST HAVENS STREET SUITE 3 , CHIROPRACTIC CENTER FOR HEALTH LIVING
MITCHELL, SD
57301-4116

Practice Phone: 605-996-1160
Practice Fax: 605-996-6433

1598823908 — MELANIE P. MULLENMEISTER D.C.
Practice Location Address:

1415 WEST HAVENS STREET , SUITE 3
MITCHELL, SD
57301-4116

Practice Phone: 605-996-1160
Practice Fax: 605-996-6433

1073649901 — DPT INC
Practice Location Address:

1319 W HAVENS ST
MITCHELL, SD
57301-4116

Practice Phone: 605-996-4778
Practice Fax:

1972752459 — MRS. JODI CAP
Practice Location Address:

1319 W HAVENS AVE
MITCHELL, SD
57301-4116

Practice Phone: 605-996-4778
Practice Fax: 605-996-3660

Directions to “CHIROPRACTIC CENTER FOR HEALTHY LIVING PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.