Active NPI
Neuro Dynamics SD LLC
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Rapid City, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- NEURO DYNAMICS SD LLC
- Practice address
- 550 N 5TH St Ste 219
Rapid City, SD 57701-1375 - Phone
- (918) 770-9333
- NPI assigned
- Jan 6, 2026
- Last updated
- Jan 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jay Leland Krottinger
- Title
- Manager
- Phone
- (918) 932-2734
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | NU | Primary |
Addresses
Primary practice location
550 N 5TH St Ste 219
Rapid City, SD 57701-1375
Mailing address
22 S Lewis Ave
Tulsa, OK 74104-1615
Phone (918) 932-2734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260626000097 | SD | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 1557834991 | Practice locations: Rapid City, SD |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Tulsa, OK
- NPI 1518332170
Member Of
Locations
550 N 5th St
Ste 219
Rapid City, SD 57701
Phone (605) 453-6577
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Tulsa, OK
- NPI 1730554031
-
- Clinical Neurophysiology Physician
- Nashville, TN
- NPI 1972644391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767657600000",
"number": "1023975513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 S LEWIS AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741041615",
"telephone_number": "918-932-2734",
"fax_number": "918-932-2734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 N 5TH ST STE 219",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577011375",
"telephone_number": "918-770-9333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEURO DYNAMICS SD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-06",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A",
"authorized_official_last_name": "KROTTINGER",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "LELAND",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "918-932-2734",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
- Dennis E Nesbit, M.D.
- Michael Troy Nesbit, MD
- Katie Marie Neshem
- Katie Ness
- Donald Wayne Nettleton, R.PH.
- Neuro Surgical & Spinal Surgery Associates, P.C. (Black Hills Neurosurgery & Spine)
- Neurosurgical & Spinal Surgery Associates, P.C. (Promotion Physical Therapy)
- Neurotech, LLC
- New Pathways, LLC
- Brook Newell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.