M & D Enterprises PC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

142 Issued in SD

Legal business name

M & D ENTERPRISES PC

Practice address

3641 Sturgis Rd
Rapid City, SD 57702-0321

Phone

(605) 348-6180

Fax

(605) 348-9121

NPI assigned

Jan 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Dan Philip Conrad, DPMNPI 1033113832

Title

President

Phone

(605) 348-6180

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dan P Conrad, DPM

  • Foot & Ankle Surgery Podiatrist
  • Rapid City, SD
  • NPI 1033113832
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1063782472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 STURGIS RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020321",
            "telephone_number": "605-348-6180",
            "fax_number": "605-348-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 STURGIS RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020321",
            "telephone_number": "605-348-6180",
            "fax_number": "605-348-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & D ENTERPRISES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-348-6180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "SD",
            "license": "142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION #",
            "identifier": "4563 S",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyde J Adams DDS Inc
• Lyde J. Adams, D.D.S. Inc.
• Edward Joseph Lynch, DDS
• Rob Dean Lyons, DDS
• Kelly Lytle, DDS
• M. Scott Ellender, OD and Elizabeth a Ellender, OD, PC
• Julie Maas, LPC
• Jaylynn M Mace
• Robert D Maclachlan, M.D.
• Morgan Macleary, DC

• Podiatric Clinic/Center in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Podiatric Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.

Verify at the official NPI Registry.