NPIMap

Organization Active NPI

Dakotah Pride Center Sisseton Wahpeton Oyate

  • Substance Abuse Rehabilitation Facility
  • Sisseton, SD
National Provider Identifier
1508900507
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
42828 Issued in SD
Legal business name
DAKOTAH PRIDE CENTER SISSETON WAHPETON OYATE
Practice address
388 Dakota Ave
Sisseton, SD 57262-3327
Phone
(605) 698-3917
Fax
(605) 698-4449
NPI assigned
Feb 16, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Richard Francis Bird, MS, CCDC IIINPI 1083127591
Title
Program Director
Phone
(605) 698-3917

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

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 5

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

National Provider Directory

National Provider Directory
Tax ID family
Dakotah Pride Center Sisseton Wahpeton Oyate (7 organizations share this tax ID)

Locations

388 Dakota Ave
Sisseton, SD 57262
Phone (605) 698-3918

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 42828 SD Primary

Addresses

NPPES NPI Registry

Primary practice location

388 Dakota Ave
Sisseton, SD 57262-3327

Mailing address

388 Dakota Ave
Sisseton, SD 57262-3327
Phone (605) 698-3917

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
9515282MedicaidSD
5000230MedicaidSD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508900507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 DAKOTA AVE",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572623327",
            "telephone_number": "605-698-3917",
            "fax_number": "605-698-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 DAKOTA AVE",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572623327",
            "telephone_number": "605-698-3917",
            "fax_number": "605-698-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTAH PRIDE CENTER SISSETON WAHPETON OYATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "605-698-3917",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, CCDC III"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "SD",
            "license": "42828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9515282",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5000230",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sisseton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.