Organization Active NPI

Dakota Hills Family Practice

  • Multi-Specialty Clinic/Center
  • Sturgis, SD
National Provider Identifier
1003889122
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
2411 Issued in SD
Legal business name
DAKOTA HILLS FAMILY PRACTICE
Practice address
1010 Ballpark Rd
Suite 3
Sturgis, SD 57785-2364
Phone
(605) 720-1389
NPI assigned
Feb 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Curtis Liedtke
Title
Physician
Phone
(605) 720-1389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 2411 SD Primary

Addresses

Primary practice location

1010 Ballpark Rd
Suite 3
Sturgis, SD 57785-2364

Mailing address

8329 N Blucksberg Mountain Rd
Sturgis, SD 57785-2812

Other identifiers 1

IdentifierTypeStateIssuer
5602336MedicaidSD

National Provider Directory

National Provider Directory

Locations

1010 Ballpark Rd
Ste 3
Sturgis, SD 57785
Phone (605) 720-1389

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003889122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8329 N BLUCKSBERG MOUNTAIN RD",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577852812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 BALLPARK RD",
            "address_2": "SUITE 3",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577852364",
            "telephone_number": "605-720-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA HILLS FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIEDTKE",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "605-720-1389"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "SD",
            "license": "2411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5602336",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgis, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.