William R Blankenship, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

1188 Issued in SD

Practice address

705 Sioux Point Rd
Suite 100
Dakota Dunes, SD 57049-5091

Phone

(605) 217-5500

Fax

(605) 217-5515

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Iowa Hospital Corporation

  • Emergency Medical Services (Emergency Medicine) Physician
  • Sioux City, IA
  • NPI 1215962550
  NPD (past)
• St Lukes Health Resources

  • Family Medicine Physician
  • Sioux City, IA
  • NPI 1528001492
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1104890888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 SIOUX POINT RD",
            "address_2": "SUITE 100",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495091",
            "telephone_number": "605-217-5500",
            "fax_number": "605-217-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 SIOUX POINT RD",
            "address_2": "SUITE 100",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495091",
            "telephone_number": "605-217-5500",
            "fax_number": "605-217-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "SD",
            "license": "1188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "I13147",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "000165998",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005020",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "4165886",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trae Jordan Bergh, PA-C
• Carmel Berglin, P.A.
• Kaylee Jo Bertrand, RN
• Beth Bruening PC
• Benjamin T. Bissell, M.D.
• Sarah Bligh, MD
• Davis Bloemendaal, PA-C
• Michael Dale Bobier, PA
• Erica Bonstead, ATHLETIC TRAINER
• Erin Bonstead, TCADC

• Endocrinology, Diabetes & Metabolism Physician in Dakota Dunes, SD
• Providers in Dakota Dunes, SD by specialty
• Endocrinology, Diabetes & Metabolism Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.