Organization Active NPI

Simply Gorgeous Medical Spa Prof, LLC

  • Family Medicine Physician
  • Watertown, SD
National Provider Identifier
1750221982
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SIMPLY GORGEOUS MEDICAL SPA PROF, LLC
Practice address
1028 29TH St SE
Watertown, SD 57201-9120
Phone
(605) 878-2888
NPI assigned
Mar 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Melissa Jean Magstadt, APRNNPI 1093794596
Title
Owner
Phone
(605) 878-2888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1028 29TH St SE
Watertown, SD 57201-9120

Mailing address

1028 29TH St SE
Watertown, SD 57201-9120
Phone (605) 878-2888

National Provider Directory

National Provider Directory

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": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1750221982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 29TH ST SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572019120",
            "telephone_number": "605-878-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 29TH ST SE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572019120",
            "telephone_number": "605-878-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY GORGEOUS MEDICAL SPA PROF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "MAGSTADT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-878-2888",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 May 18, 2026; 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.