Active NPI
Robert D Steele Jr., ATC
- Athletic Trainer
- Rapid City, SD
National Provider Identifier
1619008398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0196
- Practice address
- 321 Kansas City St
Rapid City, SD 57701-2820 - Phone
- (605) 394-5085
- NPI assigned
- Mar 7, 2007
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0196 | SD | Primary |
Addresses
Primary practice location
321 Kansas City St
Rapid City, SD 57701-2820
Mailing address
321 Kansas City St
Rapid City, SD 57701-2820
Phone (605) 394-5085
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0196 | SD | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619008398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 KANSAS CITY ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577012820",
"telephone_number": "605-394-5085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 KANSAS CITY ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577012820",
"telephone_number": "605-394-5085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "ROBERT",
"middle_name": "D",
"name_suffix": "Jr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SD",
"license": "0196",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.