Active NPI
Larry L Teuber, M.D.
- Neurological Surgery Physician
- Rapid City, SD
National Provider Identifier
1477512036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 3403
- Practice address
- 9701 Clarkson Rd
Rapid City, SD 57702-9100 - Phone
- (605) 484-1616
- Fax
- (605) 394-9307
- NPI assigned
- Mar 22, 2006
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 3403 | SD | Primary |
Addresses
Primary practice location
9701 Clarkson Rd
Rapid City, SD 57702-9100
Mailing address
9701 Clarkson Rd
Rapid City, SD 57702-9100
Phone (605) 484-1616
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103250000 | Medicaid | WY | |
| 6100332 | Medicaid | SD | |
| 3403 | Other | SD | DAKOTACARE PIN |
| 0002709 | Other | SD | WELLMARK BCBS PIN |
| 1477512036 | Other | SD | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3403 | SD | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black Hills Surgical Hospital, LLC | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Rushmore Clinic, P.C. | Past | Accepting new patients | |
| Black Hills Surgical Hospital, LLC | Past | Accepting new patients | |
| Neuro Surgical & Spinal Surgery Associates, P.C. | Neurological Surgery | Past | Accepting new patients |
Organizations & group practices 5
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.
-
dba Black Hills Urgent Care
- Urgent Care Clinic/Center
- Rapid City, SD
- NPI 1124385554
-
- Anesthesiology Physician
- Rapid City, SD
- NPI 1972630275
-
dba Black Hills Neurosurgery & Spine
- Neurological Surgery Physician
- Rapid City, SD
- NPI 1538128491
-
- Internal Medicine Physician
- Rapid City, SD
- NPI 1124184510
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1477512036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9701 CLARKSON RD",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577029100",
"telephone_number": "605-484-1616",
"fax_number": "605-394-9307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9701 CLARKSON RD",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577029100",
"telephone_number": "605-484-1616",
"fax_number": "605-394-9307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEUBER",
"first_name": "LARRY",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "SD",
"license": "3403",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103250000",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6100332",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE PIN",
"identifier": "3403",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS PIN",
"identifier": "0002709",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1477512036",
"state": "SD"
}
],
"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 Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.