NPIMap

Organization Active NPI

Dakota Allergy & Asthma LTD

  • Allergy & Immunology (Internal Medicine) Physician
  • Sioux Falls, SD
National Provider Identifier
1285689646
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
0348 Issued in SD
Legal business name
DAKOTA ALLERGY & ASTHMA LTD
Practice address
2200 W 49TH St Ste 104
Sioux Falls, SD 57105-6550
Phone
(605) 336-6385
Fax
(605) 336-6513
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Mark E Bubak, MDNPI 1336196724
Title
Provider
Phone
(605) 336-6385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0201X 0348 SD Primary

Addresses

Primary practice location

2200 W 49TH St Ste 104
Sioux Falls, SD 57105-6550

Mailing address

2200 W 49TH St Ste 104
Sioux Falls, SD 57105-6550
Phone (605) 335-1952

Other identifiers 3

IdentifierTypeStateIssuer
73Q31DAOtherMNBCBS - GROUP
0007603OtherSDBCBS - GROUP
473395900MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040602000721 SD Part B Supplier - Clinic/Group Practice 7810979002 Receives reassigned benefits from 5 practitioners
Practice locations: Sioux Falls, SD

National Provider Directory

National Provider Directory

Locations

2200 W 49th St
Ste 104
Sioux Falls, SD 57105
Phone (605) 336-6385

2200 W 49th St
Ste 103
Sioux Falls, SD 57105

Practitioners & affiliated clinicians

Practitioners 9

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": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1285689646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W 49TH ST STE 104",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056550",
            "telephone_number": "605-335-1952",
            "fax_number": "605-373-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W 49TH ST STE 104",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056550",
            "telephone_number": "605-336-6385",
            "fax_number": "605-336-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA ALLERGY & ASTHMA LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "BUBAK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "605-336-6385",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "SD",
            "license": "0348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - GROUP",
            "identifier": "73Q31DA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - GROUP",
            "identifier": "0007603",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473395900",
            "state": "MN"
        }
    ],
    "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 Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.