Active NPI
Allen Nord
- Family Medicine Physician
- Rapid City, SD
National Provider Identifier
1689614281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2528
- Practice address
- 717 Saint Francis St
Rapid City, SD 57701-4677 - Phone
- (605) 342-2880
- Fax
- (605) 388-4621
- NPI assigned
- Jun 8, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2528 | SD | Primary |
Addresses
Primary practice location
717 Saint Francis St
Rapid City, SD 57701-4677
Mailing address
PO Box 6020
Rapid City, SD 57709-6020
Phone (605) 342-3280
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080169993 | Other | SD | RR MEDICARE |
| 0008011 | Other | SD | BCBS |
| 5600576 | Medicaid | SD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2528 | SD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Arts Clinic, Pro. L.L.C. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Rapid City, SD
- NPI 1770530446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1689614281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6020",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577096020",
"telephone_number": "605-342-3280",
"fax_number": "605-721-8438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 SAINT FRANCIS ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577014677",
"telephone_number": "605-342-2880",
"fax_number": "605-388-4621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORD",
"first_name": "ALLEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "2528",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "080169993",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0008011",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5600576",
"state": "SD"
}
],
"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 Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.