Organization Active NPI

Dakota Cardiovascular, P.C.

  • Cardiovascular Disease Physician
  • Rapid City, SD
National Provider Identifier
1285748467
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
DAKOTA CARDIOVASCULAR, P.C.
Practice address
343 Quincy St
#104
Rapid City, SD 57701-3700
Phone
(605) 341-1300
Fax
(605) 341-8785
NPI assigned
Aug 18, 2006
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Kelly Vaughn-WhitleyNPI 1760596928
Title
President
Phone
(605) 341-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

343 Quincy St
#104
Rapid City, SD 57701-3700

Mailing address

343 Quincy St
#104
Rapid City, SD 57701-3700
Phone (605) 341-1300

National Provider Directory

National Provider Directory

Locations

343 Quincy St
Ste 104
Rapid City, SD 57701
Phone (605) 341-1300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1285748467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 QUINCY ST",
            "address_2": "#104",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013700",
            "telephone_number": "605-341-1300",
            "fax_number": "605-341-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 QUINCY ST",
            "address_2": "#104",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013700",
            "telephone_number": "605-341-1300",
            "fax_number": "605-341-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA CARDIOVASCULAR, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "VAUGHN-WHITLEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-341-1300"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.