Organization Active NPI

Ponderosa Apartments, Inc

Doing business as Spearfish Nutrition Site

  • Home Delivered Meals
  • Spearfish, SD
National Provider Identifier
1174605836
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
PONDEROSA APARTMENTS, INC
Doing business as
Spearfish Nutrition Site
Practice address
430 Oriole Dr
Spearfish, SD 57783-1538
Phone
(605) 642-6613
Fax
(605) 642-6421
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mrs. Barbara K Cline
Title
Director
Phone
(605) 642-6613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

430 Oriole Dr
Spearfish, SD 57783-1538

Mailing address

430 Oriole Dr
Spearfish, SD 57783-1538
Phone (605) 642-6613

Other names 1

  • Spearfish Nutrition Site Doing business as

National Provider Directory

National Provider Directory

Locations

430 Oriole Dr
Spearfish, SD 57783
Phone (605) 642-6613

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1174605836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 ORIOLE DR",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831538",
            "telephone_number": "605-642-6613",
            "fax_number": "605-642-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 ORIOLE DR",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831538",
            "telephone_number": "605-642-6613",
            "fax_number": "605-642-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDEROSA APARTMENTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "605-642-6613",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spearfish Nutrition Site",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spearfish, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.