Lake Norden Family Chiropractic Center PA
NPI 1700062601ActiveOrganization· Chiropractor· Lake Norden, SD
Chiropractor in Lake Norden, South Dakota, registered in NPPES in January 2008. The authorized official on file is Jerad Robert Bludorn, DC, Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700062601 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 10, 2008 |
| Last updated in NPPES | Sep 18, 2026 |
| Certified by provider | Sep 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 1025 | SD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SD) |
|---|
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