Active NPI
Deron L Redinger, OTRL
- Occupational Therapist
- Watertown, SD
National Provider Identifier
1710929443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1016
- Practice address
- 8 5TH St SE
Watertown, SD 57201-3713 - Phone
- (605) 753-5400
- NPI assigned
- Jun 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 359 | ND | |
| Occupational Therapist | 225X00000X | 1016 | SD | Primary |
Addresses
Primary practice location
8 5TH St SE
Watertown, SD 57201-3713
Mailing address
500 Cross St
Big Stone City, SD 57216-8237
Phone (605) 541-1140
Other practice location 1
2301 25th St S
Fargo, ND 58103-6104
Phone (701) 280-2212
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1016 | SD | MD | Registered Dietitian |
| 359 | ND | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1710929443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CROSS ST",
"city": "BIG STONE CITY",
"state": "SD",
"postal_code": "572168237",
"telephone_number": "605-541-1140",
"fax_number": "605-541-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 5TH ST SE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572013713",
"telephone_number": "605-753-5400"
}
],
"practiceLocations": [
{
"address_1": "2301 25th St S",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581036104",
"country_code": "US",
"telephone_number": "701-280-2212",
"fax_number": "701-271-1023",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDINGER",
"first_name": "DERON",
"middle_name": "L",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ND",
"license": "359",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SD",
"license": "1016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.