Organization Active NPI

Mitchell Family Practice, PC

  • Family Medicine Physician
  • Mitchell, SD
National Provider Identifier
1285825935
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MITCHELL FAMILY PRACTICE, PC
Practice address
2200 N Kimball St
Ste 400
Mitchell, SD 57301-1199
Phone
(605) 996-7900
Fax
(605) 996-7908
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Dr. Trevor A Meaney, M.D.
Title
Owner
Phone
(605) 996-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2200 N Kimball St
Ste 400
Mitchell, SD 57301-1199

Mailing address

2200 N Kimball St
Ste 400
Mitchell, SD 57301-1199
Phone (605) 996-7900

National Provider Directory

National Provider Directory

Locations

1120 E 7th Ave
Mitchell, SD 57301
Phone (605) 996-6526

2200 N Kimball St
#400
Mitchell, SD 57301
Phone (605) 996-7900

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1285825935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N KIMBALL ST",
            "address_2": "STE 400",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011199",
            "telephone_number": "605-996-7900",
            "fax_number": "605-996-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N KIMBALL ST",
            "address_2": "STE 400",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011199",
            "telephone_number": "605-996-7900",
            "fax_number": "605-996-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "MEANEY",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-996-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

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