Rapid City Plastic Surgery PLLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

RAPID CITY PLASTIC SURGERY PLLC

Doing business as

Black Hills Plastic Surgery

Practice address

3615 5TH St Ste 101
Rapid City, SD 57701-7360

Phone

(605) 343-7208

Fax

(605) 343-7132

NPI assigned

Sep 27, 2022

Last updated

Sep 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary C Snyder, MDNPI 1780635706

Title

Partner

Phone

(605) 343-7208

Specialties & licenses 1

Addresses

Other names 1

• Black Hills Plastic Surgery Doing business as

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.

• Mary Snyder

  • Plastic and Reconstructive Surgery Physician
  • Rapid City, SD
  • NPI 1780635706
  Authorized official Same address or phone

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1558085241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 5TH ST STE 101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017360",
            "telephone_number": "605-343-7208",
            "fax_number": "605-343-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 5TH ST STE 101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017360",
            "telephone_number": "605-343-7208",
            "fax_number": "605-343-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPID CITY PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "605-343-7208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Hills Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rapid City Mental Health Prof. LLC
• Rapid City Obstetrics and Gynecology
• Rapid City Oral Surgery Prof LLC
• Rapid City Orthodontics PLLC (Rapid City Orthodontics)
• Rapid City Physical Therapy, Inc (The Physical Therapy Center)
• Rapid City Regional Hospital
• Rapid City Regional Hospital
• Rapid City Regional Hospital
• Rapid City Regional Hospital Inc (Family Medicine Residency Clinic Part B)
• Rapid City Regional Hospital Inc

• Plastic and Reconstructive Surgery Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Plastic and Reconstructive Surgery Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.