Organization Active NPI

Mercy Medical Services

Doing business as Mercy Breast Care Center

  • Radiation Oncology Physician
  • Dakota Dunes, SD
National Provider Identifier
1376702217
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
MERCY MEDICAL SERVICES
Doing business as
Mercy Breast Care Center
MercyOne Dakota Dunes Breast Care Center
Practice address
330 Dakota Dunes Blvd
Suite 200
Dakota Dunes, SD 57049-5461
Phone
(605) 232-6200
Fax
(605) 232-0004
NPI assigned
Jun 5, 2008
Last updated
Oct 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Jesica Hanson
Title
VP Finance
Phone
(712) 279-5850

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X Primary
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085U0001X

Addresses

Primary practice location

330 Dakota Dunes Blvd
Suite 200
Dakota Dunes, SD 57049-5461

Mailing address

330 Dakota Dunes Blvd
Suite 200
Dakota Dunes, SD 57049-5461
Phone (605) 232-6200

Other names 2

  • Mercy Breast Care Center Doing business as
  • MercyOne Dakota Dunes Breast Care Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D1091392Mercy Breast Care Center330 Dakota Dunes Blvd Suite 200, Dakota Dunes, SD 57049Certificate of waiverOct 30, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

612 N Sioux Point Rd
Ste 500
Dakota Dunes, SD 57049
Phone (605) 232-6200

621 N Sioux PT Rd Ste 500
North Sioux City, SD 57049

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1376702217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 DAKOTA DUNES BLVD",
            "address_2": "SUITE 200",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495461",
            "telephone_number": "605-232-6200",
            "fax_number": "605-232-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 DAKOTA DUNES BLVD",
            "address_2": "SUITE 200",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495461",
            "telephone_number": "605-232-6200",
            "fax_number": "605-232-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "JESICA",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "712-279-5850"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Breast Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Dakota Dunes Breast Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.