Organization Active NPI

Mercy Weight Loss Center at Dakota Dunes

  • Specialist
  • Dakota Dunes, SD
National Provider Identifier
1316150758
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MERCY WEIGHT LOSS CENTER AT DAKOTA DUNES
Practice address
705 Sioux Point Rd
Suite 100
Dakota Dunes, SD 57049-5091
Phone
(605) 217-5566
Fax
(605) 217-5513
NPI assigned
May 8, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Ms. Jennifer L Black, R.N.
Title
Bariatric Nurse Coordinator
Phone
(605) 217-5566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

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

Mailing address

705 Sioux Point Rd
Suite 100
Dakota Dunes, SD 57049-5091
Phone (605) 217-5566

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1316150758",
    "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": "605-217-5566",
            "fax_number": "605-217-5513"
        },
        {
            "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": "605-217-5566",
            "fax_number": "605-217-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY WEIGHT LOSS CENTER AT DAKOTA DUNES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BARIATRIC NURSE COORDINATOR",
        "authorized_official_telephone_number": "605-217-5566",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.