Organization Active NPI

West Dakota Surgical Clinic

  • Ambulatory Surgical Clinic/Center
  • Rapid City, SD
National Provider Identifier
1417689274
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WEST DAKOTA SURGICAL CLINIC
Practice address
5565 Bendt Dr Ste 402
Rapid City, SD 57702-6805
Phone
(605) 718-4519
NPI assigned
Jun 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Kala French
Title
Office Manager
Phone
(605) 391-9590

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

5565 Bendt Dr Ste 402
Rapid City, SD 57702-6805

Mailing address

5565 Bendt Dr Ste 402
Rapid City, SD 57702-6805

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@westdakotasurgicalclinic.com Direct

National Provider Directory

National Provider Directory
Tax ID family
West Dakota Surgical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1417689274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 BENDT DR STE 402",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577026805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 BENDT DR STE 402",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577026805",
            "telephone_number": "605-718-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST DAKOTA SURGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "KALA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-391-9590"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@westdakotasurgicalclinic.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5565 Bendt Dr Ste 402",
            "city": "Rapid City",
            "state": "SD",
            "country_code": "US",
            "postal_code": "577026805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.