Organization Active NPI

Lycia C. Thornburg, M.D., P.C.

  • Dermatology Physician
  • Rapid City, SD
National Provider Identifier
1558224956
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LYCIA C. THORNBURG, M.D., P.C.
Practice address
3535 5TH St
Rapid City, SD 57701-6000
Phone
(605) 301-2661
Fax
(605) 301-2331
NPI assigned
Dec 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Lycia Thornburg, MDNPI 1619904067
Title
Owner
Phone
(605) 301-2661

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

3535 5TH St
Rapid City, SD 57701-6000

Mailing address

3535 5TH St
Rapid City, SD 57701-6000
Phone (605) 301-2661

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260113001204 SD Part B Supplier - Clinic/Group Practice 6608352307 Receives reassigned benefits from 2 practitioners
Practice locations: Rapid City, SD

National Provider Directory

National Provider Directory

Locations

3535 5th St
Rapid City, SD 57701
Phone (605) 215-6078

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1558224956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016000",
            "telephone_number": "605-301-2661",
            "fax_number": "605-301-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016000",
            "telephone_number": "605-301-2661",
            "fax_number": "605-301-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYCIA C. THORNBURG, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-03",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "THORNBURG",
        "authorized_official_first_name": "LYCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-301-2661",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "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 May 28, 2026; 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.