NPIMap

Organization Active NPI

Sioux Falls Center for Plastic and Reconstructive Surgery

  • Clinic/Center
  • Sioux Falls, SD
National Provider Identifier
1104201599
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SIOUX FALLS CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY
Practice address
6301 S Minnesota Ave
Suite 300
Sioux Falls, SD 57108-2528
Phone
(605) 334-1930
Fax
(605) 334-0926
NPI assigned
Jul 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Jaclyn Small
Title
Manager
Phone
(605) 334-1930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6301 S Minnesota Ave
Suite 300
Sioux Falls, SD 57108-2528

Mailing address

6301 S Minnesota Ave
Suite 300
Sioux Falls, SD 57108-2528
Phone (605) 334-1930

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1104201599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 S MINNESOTA AVE",
            "address_2": "SUITE 300",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082528",
            "telephone_number": "605-334-1930",
            "fax_number": "605-334-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 S MINNESOTA AVE",
            "address_2": "SUITE 300",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082528",
            "telephone_number": "605-334-1930",
            "fax_number": "605-334-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUX FALLS CENTER FOR PLASTIC AND RECONSTRUCTIVE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "605-334-1930"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.