Organization 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
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
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

Updated by the provider on Jul 6, 2010

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0000058OtherSDBC BS
102533300MedicaidWY

Other names 1

  • Black Hills Neurology Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.