Active NPI
Siouxland Urology Associates PC
- Urology Physician
- Dakota Dunes, SD
National Provider Identifier
1366462814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 3861
- Legal business name
- SIOUXLAND UROLOGY ASSOCIATES PC
- Practice address
- 455 N Sioux Point Rd
Dakota Dunes, SD 57049-5327 - Phone
- (605) 217-7000
- Fax
- (605) 217-7015
- NPI assigned
- Jul 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Greg Haar
- Title
- Administrator
- Phone
- (605) 217-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 3861 | SD | Primary |
Addresses
Primary practice location
455 N Sioux Point Rd
Dakota Dunes, SD 57049-5327
Mailing address
455 N Sioux Point Rd
Dakota Dunes, SD 57049-5327
Phone (605) 217-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, SD, NE
Enrollment records 4
National Provider Directory
National Provider DirectoryInteroperability endpoints
- craigblock@suapc.medalliesdirect.net
- adamalthaus@suapc.medalliesdirect.net
- andrewbourne@suapc.medalliesdirect.net
- daviddaniels@suapc.medalliesdirect.net
- timothykneib@suapc.medalliesdirect.net
- michaeloberle@suapc.medalliesdirect.net
- jamieolsen@suapc.medalliesdirect.net
- danielolsen@suapc.medalliesdirect.net
Practitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Dakota Dunes, SD
- NPI 1417048455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649376000000",
"number": "1366462814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 N SIOUX POINT RD",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495327",
"telephone_number": "605-217-7000",
"fax_number": "605-217-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 N SIOUX POINT RD",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495327",
"telephone_number": "605-217-7000",
"fax_number": "605-217-7015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIOUXLAND UROLOGY ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A",
"authorized_official_last_name": "HAAR",
"authorized_official_first_name": "GREG",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "605-217-7000"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "SD",
"license": "3861",
"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 Apr 8, 2022; 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.