Active NPI
Alvin Wessel Jr.
- Family Medicine Physician
- Rapid City, SD
National Provider Identifier
1043247406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1571
- Practice address
- 1200 Highland Park Dr
Rapid City, SD 57701-5335 - Phone
- (605) 341-7244
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1571 | SD | Primary |
Addresses
Primary practice location
1200 Highland Park Dr
Rapid City, SD 57701-5335
Mailing address
1200 Highland Park Dr
Rapid City, SD 57701-5335
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U.S. Healthworks Medical Group of Utah, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Seattle, WA
- NPI 1548240013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480550400000",
"number": "1043247406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 HIGHLAND PARK DR",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577015335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HIGHLAND PARK DR",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577015335",
"telephone_number": "605-341-7244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESSEL",
"first_name": "ALVIN",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2016-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "1571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.