Active NPI
David E Sandvik, MD
- Geriatric Medicine (Internal Medicine) Physician
- Rapid City, SD
National Provider Identifier
1548253388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 207RG0300X
- Practice address
- 909 Saint Joseph St
Suite B100
Rapid City, SD 57701-2414 - Phone
- (605) 718-4380
- Fax
- (605) 718-4396
- NPI assigned
- Aug 26, 2005
- Last updated
- Feb 16, 2010
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 207RG0300X | SD | Primary |
Addresses
Primary practice location
909 Saint Joseph St
Suite B100
Rapid City, SD 57701-2414
Mailing address
909 Saint Joseph St
Suite B100
Rapid City, SD 57701-2414
Phone (605) 718-4380
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000642 | Medicaid | SD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207RG0300X | SD | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Medicine | Current | Accepting new patients | |
| Internal Medicine and Geriatrics Associates, LLP | Geriatric Medicine | Past | Accepting new patients |
Locations
1115 E 20th St
Sioux Falls, SD 57105
Phone (605) 339-1783
Organizations & group practices 2
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.
-
- Community Health Worker
- Sioux Falls, SD
- NPI 1235898073
-
- Geriatric Medicine (Internal Medicine) Physician
- Rapid City, SD
- NPI 1417012170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1548253388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 SAINT JOSEPH ST",
"address_2": "SUITE B100",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577012414",
"telephone_number": "605-718-4380",
"fax_number": "605-718-4396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 SAINT JOSEPH ST",
"address_2": "SUITE B100",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577012414",
"telephone_number": "605-718-4380",
"fax_number": "605-718-4396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDVIK",
"first_name": "DAVID",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "SD",
"license": "207RG0300X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000642",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
- Sanctuary Counseling, LLC
- Ardith Sand, MSW
- Rebecca Rose Sanders, PTA
- Teressa M Sanders, DPT
- Katie Sandvig, PT,DPT
- Linda Jane Sandvik, RN BSN CDE
- Sanford Health
- Sanford School of Medicine of the University of South Dakota Clinical
- Sanford School of Medicine the University of SD Clinical Virology Lab
- Ashley Sargent, CM, BS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.