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
- Last updated
- Apr 8, 2022
- 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
- adamalthaus@suapc.medalliesdirect.net
- andrewbourne@suapc.medalliesdirect.net
- craigblock@suapc.medalliesdirect.net
- danielolsen@suapc.medalliesdirect.net
- daviddaniels@suapc.medalliesdirect.net
- jamieolsen@suapc.medalliesdirect.net
- michaeloberle@suapc.medalliesdirect.net
- timothykneib@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, and the practitioner matching its NPPES authorized official.
-
- 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
- Siouxland Gastroenterology P C
- Siouxland Pathology (Dunes Medical Lab Siouxland Pathology)
- Siouxland Pulmonary Critical Care & Sleep PC
- Siouxland Senior Care Inc (Seniors Helping Seniors)
- Siouxland Surgery Center Limited Liability Partnership (Dunes Surgical Hospital)
- Siouxland Urology Center LLC
- Sarah Sitzmann-Ruehle, DPT
- Cody Arthur Smith
- Megan A. Snoozy, DPT
- Kelly Sonius, DPT
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.