Active NPI
Mercy Medical Services
Doing business as Mercy Breast Care Center
- Radiation Oncology Physician
- Dakota Dunes, SD
National Provider Identifier
1376702217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- 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, 2024
- 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
- Jesica Hanson
- Title
- VP Finance
- Phone
- (712) 279-5850
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary | ||
| Diagnostic Ultrasound Physician | 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
- MercyOne Dakota Dunes Breast Care Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D1091392 | Mercy Breast Care Center | Certificate of waiver | Oct 30, 2026 |
National Provider Directory
National Provider DirectoryMember 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
- Reed Barton McGill, PA
- Tiffany Lynn McKinley, PTA
- Ann M McManus, CRNA
- Ryan Christopher Meis, MD
- Gina Kirsten Meister, DPT
- Mercy Medical Services (Mercy Dakota Dunes Family Medicine)
- Mercy Medical Services (MercyOne Dakota Dunes Urgent Care)
- Mercy Weight Loss Center at Dakota Dunes
- Catherine Merna, MD
- Steven Jay Meyer, MD
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.