Black Hills Orthotics & Prosthetics

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

53-001-E-ST Issued in SD

Legal business name

BLACK HILLS ORTHOTICS & PROSTHETICS

Practice address

1802 Elm Ave
Rapid City, SD 57701-3846

Phone

(605) 341-8577

Fax

(605) 341-7656

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mark Alan Parrell, CO

Title

Owner Certified Orthotist

Phone

(605) 341-8577

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063553287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 AVENUE B",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614637",
            "telephone_number": "308-632-4641",
            "fax_number": "308-632-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 ELM AVE",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013846",
            "telephone_number": "605-341-8577",
            "fax_number": "605-341-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HILLS ORTHOTICS & PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PARRELL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER CERTIFIED ORTHOTIST",
        "authorized_official_telephone_number": "605-341-8577",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "SD",
            "license": "53-001-E-ST",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9151810",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Black Hills Orthodontics, Prof. L.L.C. (Rapid City Orthodontics)
• Black Hills Orthodontics, Prof. L.L.C. (Meyer & Dana Orthodontics)
• Black Hills Orthodontics, Prof. L.L.C.
• Black Hills Orthopedic & Spine Center, Inc.
• Black Hills Orthopedic & Spine Center, Inc.
• Black Hills Pediatric Dentistry
• Black Hills Pediatric Dentistry
• Black Hills Pediatric Therapy, LLC
• Black Hills Pediatrics, LLP (Black Hills Pediatrics and Neonatology, LLP)
• Black Hills Pelvic Health, LLC

• Prosthetics Case Management in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Prosthetics Case Management in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.