Active NPI
Black Hills Pediatrics, LLP
- Pediatrics Physician
- Rapid City, SD
National Provider Identifier
1639229727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- BLACK HILLS PEDIATRICS, LLP
- Practice address
- 2905 5TH St
Rapid City, SD 57701-7316 - Phone
- (605) 341-7337
- Fax
- (605) 341-2447
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dean Hass
- Title
- Business Administrator
- Phone
- (605) 341-7337
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
2905 5TH St
Rapid City, SD 57701-7316
Mailing address
2905 5TH St
Rapid City, SD 57701-7316
Phone (605) 341-7337
Other names 1
- Black Hills Pediatrics and Neonatology, LLP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D0407918 | Black Hills Pediatrics LLP | Compliance | Jan 18, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Rapid City, SD
- NPI 1225016777
-
- Pediatrics Physician
- Rapid City, SD
- NPI 1578768982
-
- Pediatrics Physician
- Rapid City, SD
- NPI 1922329762
-
- Pediatrics Physician
- Rapid City, SD
- NPI 1033134135
-
- Pediatric Adolescent Medicine Physician
- Rapid City, SD
- NPI 1689874745
-
- Pediatrics Physician
- Rapid City, SD
- NPI 1740205756
-
- Pediatrics Physician
- Rapid City, SD
- NPI 1700818044
-
- Pediatrics Physician
- Rapid City, SD
- NPI 1437181765
-
- Pediatrics Physician
- Rapid City, SD
- NPI 1528083565
-
- Family Nurse Practitioner
- Rapid City, SD
- NPI 1316497720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692057600000",
"number": "1639229727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 5TH ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577017316",
"telephone_number": "605-341-7337",
"fax_number": "605-341-2447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 5TH ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577017316",
"telephone_number": "605-341-7337",
"fax_number": "605-341-2447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLACK HILLS PEDIATRICS, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A",
"authorized_official_last_name": "HASS",
"authorized_official_first_name": "DEAN",
"authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
"authorized_official_telephone_number": "605-341-7337"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Black Hills Pediatrics and Neonatology, LLP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rapid City, SD
- Black Hills Orthopedic & Spine Center, Inc.
- Black Hills Orthotics & Prosthetics
- Black Hills Pediatric Dentistry
- Black Hills Pediatric Dentistry
- Black Hills Pediatric Therapy, LLC
- Black Hills Pelvic Health, LLC
- Black Hills Podiatry
- Black Hills Primary Care PC
- Black Hills Regional Eye Institute
- Black Hills Regional Eye Institute Refractive Surgery Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.