Organization Active NPI

Robert C. Stelzle MD

  • Allergy & Immunology Physician
  • Rapid City, SD
National Provider Identifier
1487067385
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ROBERT C. STELZLE MD
Practice address
101 E Minnesota St
Suite 240
Rapid City, SD 57701-7757
Phone
(605) 716-6010
Fax
(605) 716-6011
NPI assigned
Jun 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Dr. Robert C Stelzle, MDNPI 1639161813
Title
Owner
Phone
(605) 716-6010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

101 E Minnesota St
Suite 240
Rapid City, SD 57701-7757

Mailing address

101 E Minnesota St
Suite 240
Rapid City, SD 57701-7757
Phone (605) 716-6010

Other identifiers 3

IdentifierTypeStateIssuer
119533600OtherWYWYOMING EQUALITYCARE
5900402MedicaidSD
P00014765OtherRAILROAD MEDICARE

Other names 1

  • Allergy and Asthma of the Black Hills Doing business as

National Provider Directory

National Provider Directory

Locations

101 E Minnesota St
Ste 240
Rapid City, SD 57701
Phone (605) 716-6010

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1487067385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MINNESOTA ST",
            "address_2": "SUITE 240",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017757",
            "telephone_number": "605-716-6010",
            "fax_number": "605-716-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MINNESOTA ST",
            "address_2": "SUITE 240",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017757",
            "telephone_number": "605-716-6010",
            "fax_number": "605-716-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C. STELZLE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "STELZLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-716-6010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WYOMING EQUALITYCARE",
            "identifier": "119533600",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5900402",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00014765",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy and Asthma of the Black Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 9, 2014; 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.