Organization Active NPI

Siouxland Pulmonary Critical Care & Sleep PC

  • Pulmonary Disease Physician
  • Dakota Dunes, SD
National Provider Identifier
1720031610
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4302 Issued in SD
Legal business name
SIOUXLAND PULMONARY CRITICAL CARE & SLEEP PC
Practice address
101 Tower Road
Suite 200
Dakota Dunes, SD 57049-5098
Phone
(605) 217-4330
Fax
(605) 217-2947
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Authorized official

Name
Rhonda J McCoy
Title
Credentialing Specialist
Phone
(605) 217-2615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 4302 SD Primary

Addresses

Primary practice location

101 Tower Road
Suite 200
Dakota Dunes, SD 57049-5098

Mailing address

101 Tower Road
Suite 200
Dakota Dunes, SD 57049-5098
Phone (605) 217-4330

National Provider Directory

National Provider Directory

Locations

101 Tower Rd
Ste 200
Dakota Dunes, SD 57049
Phone (605) 217-4330

101 Tower Rd
Ste 105
North Sioux City, SD 57049
Phone (605) 217-4300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1720031610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TOWER ROAD",
            "address_2": "SUITE 200",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495098",
            "telephone_number": "605-217-4330",
            "fax_number": "605-217-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWER ROAD",
            "address_2": "SUITE 200",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495098",
            "telephone_number": "605-217-4330",
            "fax_number": "605-217-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUXLAND PULMONARY CRITICAL CARE & SLEEP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "605-217-2615"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SD",
            "license": "4302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.