Organization Active NPI

Cosmetic and Plastic Surgery Specialists, PC

  • Plastic Surgery Physician
  • Aberdeen, SD
National Provider Identifier
1063805604
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
4863 Issued in SD
Legal business name
COSMETIC AND PLASTIC SURGERY SPECIALISTS, PC
Doing business as
Dakota Plastic Surgery
Practice address
201 S Lloyd St
W230
Aberdeen, SD 57401-4552
Phone
(605) 725-5030
NPI assigned
Mar 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Authorized official

Name
Dr. Sanjay Mukerji, MD
Title
President/Owner
Phone
(605) 725-5030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 4863 SD Primary

Addresses

Primary practice location

201 S Lloyd St
W230
Aberdeen, SD 57401-4552

Mailing address

201 S Lloyd St
W230
Aberdeen, SD 57401-4552
Phone (605) 725-5030

Other names 1

  • Dakota Plastic Surgery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1063805604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S LLOYD ST",
            "address_2": "W230",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014552",
            "telephone_number": "605-725-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S LLOYD ST",
            "address_2": "W230",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014552",
            "telephone_number": "605-725-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC AND PLASTIC SURGERY SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "MUKERJI",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "605-725-5030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "SD",
            "license": "4863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dakota Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.