NPIMap

Individual provider Active NPI

Dawn Flickema, M.D.

  • Family Medicine Physician
  • Sioux Falls, SD
National Provider Identifier
1437194636
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4245 Issued in SD
Practice address
1910 W 69TH St
Sioux Falls, SD 57108-5612
Phone
(605) 332-5200
Fax
(605) 322-5205
NPI assigned
Jun 19, 2006
Last updated
Nov 2, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4245 SD Primary

Addresses

Primary practice location

1910 W 69TH St
Sioux Falls, SD 57108-5612

Mailing address

PO Box 86430
Sioux Falls, SD 57118-6430
Phone (605) 322-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051223000097 SD Practitioner - Family Practice 3072400944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Sanford School of Medicine of University of South Dakota, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1910 W 69TH St
Sioux Falls, SD 57108-5612
Phone (605) 322-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4245SDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Dec 31, 2005 Accepting new patients
Avera McKennan CurrentSince Dec 31, 2005 Accepting new patients
Avera McKennan Current Accepting new patients

Locations

400 22nd Ave
Brookings, SD 57006
Phone (605) 692-6236

740 S Hill St
Salem, SD 57058
Phone (605) 425-2855

1000 E 23rd St
Ste 140
Sioux Falls, SD 57105
Phone (605) 322-3241

116 W 69th St
Sioux Falls, SD 57108
Phone (605) 322-1530

1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140

1910 W 69th St
Sioux Falls, SD 57108
Phone (605) 322-5200

Interoperability endpoints

  • Direct secure messaging: dawn.flickema@avera.sdhealthlink.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1437194636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86430",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571186430",
            "telephone_number": "605-322-4900",
            "fax_number": "605-322-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 W 69TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571085612",
            "telephone_number": "605-332-5200",
            "fax_number": "605-322-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLICKEMA",
        "first_name": "DAWN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "4245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.