Active NPI
Joseph Raymond Dembouski, PA-C
- Medical Physician Assistant
- Yankton, SD
National Provider Identifier
1538077599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 1104 W 8TH St
Yankton, SD 57078-3306 - Phone
- (605) 665-6935
- NPI assigned
- Aug 31, 2026
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
1104 W 8TH St
Yankton, SD 57078-3306
Mailing address
24141 Gingerale TRL
Madison Lake, MN 56063-4483
Phone (507) 420-1444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1538077599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24141 GINGERALE TRL",
"city": "MADISON LAKE",
"state": "MN",
"postal_code": "560634483",
"telephone_number": "507-420-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 W 8TH ST",
"city": "YANKTON",
"state": "SD",
"postal_code": "570783306",
"telephone_number": "605-665-6935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMBOUSKI",
"first_name": "JOSEPH",
"middle_name": "RAYMOND",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yankton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.