NPIMap

Organization Active NPI

Dakota Dermatology at Spirit Lake PC

  • Dermatology Physician
  • Spirit Lake, IA
National Provider Identifier
1073287678
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DAKOTA DERMATOLOGY AT SPIRIT LAKE PC
Practice address
2700 23Rd St Ste C
Spirit Lake, IA 51360-1158
Phone
(605) 330-9619
NPI assigned
Aug 6, 2021
Organization subpart
Yes
Parent organization
DAKOTA DERMATOLOGY, LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Jameson Colin McGrann
Title
Practice Manager
Phone
(605) 330-9619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

2700 23Rd St Ste C
Spirit Lake, IA 51360-1158

Mailing address

4950 S Minnesota Ave
Sioux Falls, SD 57108-2708
Phone (605) 330-9619

Other names 1

  • Dakota Dermatology at Spirit Lake Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210910000881 IA Part B Supplier - Clinic/Group Practice 8022414432 Receives reassigned benefits from 4 practitioners
Practice locations: Spirit Lake, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2232771Dakota Dermatology at Spirit Lake2700 23Rd Street, Suite C, Spirit Lake, IA 51360ComplianceMar 28, 2028

National Provider Directory

National Provider Directory
Part of
Dakota Dermatology LTD

Locations

4950 S Minnesota Ave
Sioux Falls, SD 57108
Phone (605) 330-9619

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1073287678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 S MINNESOTA AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082708",
            "telephone_number": "605-330-9619",
            "fax_number": "605-330-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 23RD ST STE C",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601158",
            "telephone_number": "605-330-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA DERMATOLOGY AT SPIRIT LAKE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAKOTA DERMATOLOGY, LTD",
        "enumeration_date": "2021-08-06",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "MCGRANN",
        "authorized_official_first_name": "JAMESON",
        "authorized_official_middle_name": "COLIN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "605-330-9619"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dakota Dermatology at Spirit Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spirit Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.