Active NPI
Kendra D Watson, M.D.
- Dermatology Physician
- Sioux Falls, SD
National Provider Identifier
1740623776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 10433
- Practice address
- 4950 S Minnesota Ave
Sioux Falls, SD 57108-2864 - Phone
- (605) 330-9619
- Fax
- (605) 330-9503
- NPI assigned
- Apr 9, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 10433 | SD | Primary |
Addresses
Primary practice location
4950 S Minnesota Ave
Sioux Falls, SD 57108-2864
Mailing address
4950 S Minnesota Ave
Sioux Falls, SD 57108
Phone (605) 330-9619
Other practice location 1
2700 23rd St Ste C
Spirit Lake, IA 51360-1158
Phone (712) 336-6850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Sanford School of Medicine of University of South Dakota, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
- CCM Health
Practice addresses (Care Compare)
2700 23Rd St
Suite C
Spirit Lake, IA 51360-1158
Phone (712) 336-6850
4950 S Minnesota Ave
Sioux Falls, SD 57108-2864
Phone (605) 330-9619
824 N 11TH St
Montevideo, MN 56265-1629
Phone (320) 269-8877
Hospital & facility affiliations
- Avera McKennan Hospital & University Health Center
- Madison Regional Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.71 of 100
- Quality
- 85.75
- Improvement activities
- 40
- Cost
- 78.48
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.4 of 100
- Quality
- 73.46
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 105 |
| Removal of skin lesions | 545 |
| Removal of skin cancer | 464 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 56 |
| Skin biopsy | 166 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10433 | SD | MD | Dermatology Physician |
| 0079 | SD | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dakota Dermatology at Spirit Lake PC | Dermatology | Current | Accepting new patients |
| Dakota Dermatology, LTD | Dermatology | Current | Accepting new patients |
Locations
2700 23rd St
Ste C
Spirit Lake, IA 51360
Phone (712) 336-3750
323 SW 10th St
Madison, SD 57042
Phone (605) 256-6551
4950 S Minnesota Ave
Sioux Falls, SD 57108
Phone (605) 330-9619
Organizations & group practices 2
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.
-
- Dermatology Physician
- Sioux Falls, SD
- NPI 1396701306
-
- Dermatology Physician
- Spirit Lake, IA
- NPI 1073287678
Hospital & facility affiliations 24
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1154531630
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1184834764
-
- Endocrinology, Diabetes & Metabolism Physician
- Sioux Falls, SD
- NPI 1396711016
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1740623776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4950 S MINNESOTA AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "57108",
"telephone_number": "605-330-9619",
"fax_number": "605-330-9503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 S MINNESOTA AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082864",
"telephone_number": "605-330-9619",
"fax_number": "605-330-9503"
}
],
"practiceLocations": [
{
"address_1": "2700 23rd St Ste C",
"address_purpose": "LOCATION",
"city": "Spirit Lake",
"state": "IA",
"postal_code": "513601158",
"country_code": "US",
"telephone_number": "712-336-6850",
"fax_number": "712-336-8152",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATSON",
"first_name": "KENDRA",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-09",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "SD",
"license": "10433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.