Individual provider Active NPI

Luther Myron Hegland Jr., MD

  • Psychiatry Physician
  • Sioux Falls, SD
National Provider Identifier
1033173513
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5455 Issued in SD
Practice address
1727 S Cleveland Ave
Sioux Falls, SD 57103-3245
Phone
(605) 368-1831
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5455 SD Primary

Addresses

Primary practice location

1727 S Cleveland Ave
Sioux Falls, SD 57103-3245

Mailing address

1821 Parkview Blvd
Brandon, SD 57005-2624
Phone (605) 553-6026

Other identifiers 1

IdentifierTypeStateIssuer
7101563MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0345SDMDRegistered Dietitian
5455SDMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1033173513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 PARKVIEW BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570052624",
            "telephone_number": "605-553-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 S CLEVELAND AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571033245",
            "telephone_number": "605-368-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGLAND",
        "first_name": "LUTHER",
        "middle_name": "MYRON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SD",
            "license": "5455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101563",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.