NPIMap

Organization Active NPI

State of South Dakota Division of Oasi

  • Pediatrics Physician
  • Rapid City, SD
National Provider Identifier
1689695397
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
STATE OF SOUTH DAKOTA DIVISION OF OASI
Practice address
2905 Fifth Street
Rapid City, SD 57701
Phone
(605) 394-2528
Fax
(605) 394-5151
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Ms. Kari Jean Weisbeck
Title
Administrator
Phone
(605) 773-4939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2905 Fifth Street
Rapid City, SD 57701

Mailing address

600 E Capitol Ave
Pierre, SD 57501-2536
Phone (605) 773-3361

Other identifiers 1

IdentifierTypeStateIssuer
5400140MedicaidSD

Other names 1

  • South Dakota Department of Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SD Dept of HLTH Dba CHI35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1689695397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E CAPITOL AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575012536",
            "telephone_number": "605-773-3361",
            "fax_number": "605-773-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 FIFTH STREET",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-394-2528",
            "fax_number": "605-394-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF SOUTH DAKOTA DIVISION OF OASI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "WEISBECK",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-773-4939",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5400140",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Dakota Department of Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.