NPIMap

Organization Active NPI

Cheyenne River Sioux Tribe

  • Primary Care Clinic/Center
  • Laplante, SD
National Provider Identifier
1104068428
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CHEYENNE RIVER SIOUX TRIBE
Practice address
15607 1St Ave
Laplante, SD 57652-0000
Phone
(605) 964-0772
Fax
(605) 964-1399
NPI assigned
Apr 1, 2009
Last updated
Aug 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Ramona Simon, RN
Title
Tribal Health Ceo
Phone
(605) 964-0785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

15607 1St Ave
Laplante, SD 57652-0000

Mailing address

PO Box 590
Eagle Butte, SD 57625-0590
Phone (605) 964-6190

National Provider Directory

National Provider Directory
Tax ID family
Cheyenne River Dental Clinic12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1104068428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "576250590",
            "telephone_number": "605-964-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15607 1ST AVE",
            "city": "LAPLANTE",
            "state": "SD",
            "postal_code": "576520000",
            "telephone_number": "605-964-0772",
            "fax_number": "605-964-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEYENNE RIVER SIOUX TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_title_or_position": "TRIBAL HEALTH CEO",
        "authorized_official_telephone_number": "605-964-0785",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.