Organization Active NPI

Black Hills Audiology LLC

  • Audiologist
  • Rapid City, SD
National Provider Identifier
1487430518
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
BLACK HILLS AUDIOLOGY LLC
Practice address
803 Saint Joseph St
Rapid City, SD 57701-2609
Phone
(406) 600-2458
NPI assigned
Sep 5, 2023
Last updated
Sep 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Dr. Jennifer Diane Sabers, AU.D.NPI 1538573084
Title
Audiologist, Founder/Owner
Phone
(406) 600-2458

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
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

803 Saint Joseph St
Rapid City, SD 57701-2609

Mailing address

3718 Hall St
Rapid City, SD 57702-2228
Phone (406) 600-2458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231005000653 SD Part B Supplier - Clinic/Group Practice 9931554391 Receives reassigned benefits from 1 practitioner
Practice locations: Rapid City, SD

National Provider Directory

National Provider Directory

Locations

803 Saint Joseph St
Rapid City, SD 57701
Phone (406) 600-2458

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1487430518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 HALL ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022228",
            "telephone_number": "406-600-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 SAINT JOSEPH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012609",
            "telephone_number": "406-600-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HILLS AUDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "SABERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "AUDIOLOGIST, FOUNDER/OWNER",
        "authorized_official_telephone_number": "406-600-2458",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "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 Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.