Daniel Martin Tackett, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

1894 Issued in SD

Practice address

3751 Skyline Dr
Rapid City, SD 57701-5363

Phone

(605) 341-7248

Fax

(605) 431-0268

NPI assigned

Sep 20, 2005

Last updated

May 8, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dan M Tackett Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: daniel.tackett@directaddress.net

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.

• Dakota West Radiation Oncology PC

  • Radiation Oncology Physician
  • Rapid City, SD
  • NPI 1447343827
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1457347007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 SKYLINE DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577015363",
            "telephone_number": "605-341-7248",
            "fax_number": "605-431-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 SKYLINE DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577015363",
            "telephone_number": "605-341-7248",
            "fax_number": "605-431-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "DANIEL",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "SD",
            "license": "1894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7202112",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "920002680",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102240700",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAN",
            "last_name": "TACKETT",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christine Sweers
• Sweet Serenity Therapy
• Greg G Swenson, PHD
• Ryan V Swenson, DC
• Shiela R Szymonski, CNP
• Brooke Lynn Tague, MS CF-SLP
• Kenneth James Talbot, PA-C
• Maria Talmazan, LMT
• Deanne Tamang, M.D.
• Stephen Tamang, MD

• Radiation Oncology Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Radiation Oncology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.