Active NPI
Antonio Mora Alandy, MD
- General Practice Physician
- Eureka, SD
National Provider Identifier
1083624241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 3430
- Practice address
- 200 J Ave Ste a
Eureka, SD 57437-2225 - Phone
- (605) 284-2621
- Fax
- (605) 284-2623
- NPI assigned
- Aug 9, 2006
- Last updated
- Apr 13, 2020
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 3430 | SD | Primary |
Addresses
Primary practice location
200 J Ave Ste a
Eureka, SD 57437-2225
Mailing address
PO Box 37
Eureka, SD 57437-0037
Phone (605) 284-2342
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3430 | SD | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Care Associates, LLP | Past | Accepting new patients | |
| Ophthalmology Associates 010196 | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Aberdeen, SD
- NPI 1306900634
-
- Optometrist
- Aberdeen, SD
- NPI 1265502264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586736000000",
"number": "1083624241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37",
"city": "EUREKA",
"state": "SD",
"postal_code": "574370037",
"telephone_number": "605-284-2342",
"fax_number": "605-284-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 J AVE STE A",
"city": "EUREKA",
"state": "SD",
"postal_code": "574372225",
"telephone_number": "605-284-2621",
"fax_number": "605-284-2623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALANDY",
"first_name": "ANTONIO",
"middle_name": "MORA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "SD",
"license": "3430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.