Individual provider Active NPI

John B Jarding, O.D

  • Optometrist
  • Hot Springs, SD
National Provider Identifier
1396702221
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
111 Issued in SD
Practice address
200 S Chicago St
Hot Springs, SD 57747-2322
Phone
(605) 745-3175
Fax
(605) 745-4006
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 111 SD Primary

Addresses

Primary practice location

200 S Chicago St
Hot Springs, SD 57747-2322

Mailing address

200 S Chicago St
Hot Springs, SD 57747-2322
Phone (605) 745-3175

Other identifiers 1

IdentifierTypeStateIssuer
9200825MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060404000831 SD Practitioner - Optometry 2365423688 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
111SDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilkinson Vision, Inc Optometrist CurrentSince May 1, 2019 Accepting new patients
Rapid City Indian Health Service Hospital Past Accepting new patients
John B. Jarding OD, LLC PastSince Jan 1, 2002 Accepting new patients

Locations

322 Mount Rushmore Rd
Custer, SD 57730
Phone (605) 673-2716

200 S Chicago St
Hot Springs, SD 57747
Phone (605) 745-3175

103 N River St
Hot Springs, SD 57747
Phone (605) 745-3175

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1396702221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S CHICAGO ST",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577472322",
            "telephone_number": "605-745-3175",
            "fax_number": "605-745-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S CHICAGO ST",
            "city": "HOT SPRINGS",
            "state": "SD",
            "postal_code": "577472322",
            "telephone_number": "605-745-3175",
            "fax_number": "605-745-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARDING",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9200825",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, SD

Sources for this page

Verify at the official NPI Registry.