Active NPI
Dakota Orthopedic
- Orthopaedic Surgery Physician
- Spearfish, SD
National Provider Identifier
1679367114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- DAKOTA ORTHOPEDIC
- Practice address
- 311 N 27TH St Ste 2
Spearfish, SD 57783-3349 - Phone
- (605) 569-6000
- NPI assigned
- Apr 8, 2025
- 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
- Ray Jensen, MD
- Title
- Authorized Official
- Phone
- (605) 569-6000
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
311 N 27TH St Ste 2
Spearfish, SD 57783-3349
Mailing address
311 N 27TH St Ste 2
Spearfish, SD 57783-3349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250508001886 | SD | Part B Supplier - Clinic/Group Practice | 7810414273 |
Receives reassigned benefits from 1 practitioner Practice locations: Spearfish, SD |
National Provider Directory
National Provider DirectoryLocations
311 N 27th St
Ste 2
Spearfish, SD 57783
Phone (605) 569-6000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Spearfish, SD
- NPI 1962716761
Orthopaedic Surgery, SD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744070400000",
"number": "1679367114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 N 27TH ST STE 2",
"city": "SPEARFISH",
"state": "SD",
"postal_code": "577833349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N 27TH ST STE 2",
"city": "SPEARFISH",
"state": "SD",
"postal_code": "577833349",
"telephone_number": "605-569-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAKOTA ORTHOPEDIC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-08",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A",
"authorized_official_last_name": "JENSEN",
"authorized_official_first_name": "RAY",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "605-569-6000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spearfish, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.