Active NPI
K Alan Kelts MD Steven K Hata MD Robert C Finley MD Etal PTRS
- Neurology Physician
- Rapid City, SD
National Provider Identifier
1083763288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- K ALAN KELTS MD STEVEN K HATA MD ROBERT C FINLEY MD ETAL PTRS
- Practice address
- 2929 5TH St
Ste 240
Rapid City, SD 57701-7363 - Phone
- (605) 341-3770
- Fax
- (605) 341-8692
- NPI assigned
- Jan 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeanine Lewis
- Title
- Patient Accounts
- Phone
- (605) 341-3770
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Neurology Physician | 2084N0400X | Primary | ||
| Medical Physician Assistant | 363AM0700X |
Addresses
Primary practice location
2929 5TH St
Ste 240
Rapid City, SD 57701-7363
Mailing address
2929 5TH St
Ste 240
Rapid City, SD 57701-7363
Phone (605) 341-3770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000058 | Other | SD | BC BS |
| 102533300 | Medicaid | WY |
Other names 1
- Black Hills Neurology
National Provider Directory
National Provider DirectoryLocations
3603 Range Rd
Rapid City, SD 57702
Phone (605) 341-3770
Practitioners & affiliated clinicians
Practitioners 1
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": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278374400000",
"number": "1083763288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 5TH ST",
"address_2": "STE 240",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577017363",
"telephone_number": "605-341-3770",
"fax_number": "605-341-8692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 5TH ST",
"address_2": "STE 240",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577017363",
"telephone_number": "605-341-3770",
"fax_number": "605-341-8692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K ALAN KELTS MD STEVEN K HATA MD ROBERT C FINLEY MD ETAL PTRS",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2010-07-06",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "JEANINE",
"authorized_official_title_or_position": "PATIENT ACCOUNTS",
"authorized_official_telephone_number": "605-341-3770"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "0000058",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102533300",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Black Hills Neurology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.