Active NPI
Thomas Ries
- Podiatrist
- Rapid City, SD
National Provider Identifier
1417983149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 139
- Practice address
- 350 Pine St
Rapid City, SD 57701-1669 - Phone
- (605) 721-8939
- NPI assigned
- Jun 24, 2006
- Last updated
- Dec 1, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 139 | SD | Primary |
Addresses
Primary practice location
350 Pine St
Rapid City, SD 57701-1669
Mailing address
350 Pine St
Rapid City, SD 57701-1669
Phone (605) 721-8939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 12, 2023 through May 12, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139 | SD | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of the Black Hills, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Rapid City, SD
- NPI 1518219633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448928000000",
"number": "1417983149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 PINE ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577011669",
"telephone_number": "605-721-8939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 PINE ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577011669",
"telephone_number": "605-721-8939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIES",
"first_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2015-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "SD",
"license": "139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.