Organization Active NPI

Black Hills Obstetrics and Gynecology LLP

  • Obstetrics & Gynecology Physician
  • Rapid City, SD
National Provider Identifier
1750337069
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BLACK HILLS OBSTETRICS AND GYNECOLOGY LLP
Practice address
677 Cathedral Drive
Rapid City, SD 57701
Phone
(605) 343-9224
Fax
(605) 342-1359
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Authorized official

Name
Mr. Chris Jaeger
Title
Administrator
Phone
(605) 343-9224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

677 Cathedral Drive
Rapid City, SD 57701

Mailing address

677 Cathedral Drive
Rapid City, SD 57701
Phone (605) 343-9224

National Provider Directory

National Provider Directory

Locations

677 Cathedral Dr
Rapid City, SD 57701
Phone (605) 343-9224

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1750337069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 CATHEDRAL DRIVE",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-343-9224",
            "fax_number": "605-342-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 CATHEDRAL DRIVE",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-343-9224",
            "fax_number": "605-342-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HILLS OBSTETRICS AND GYNECOLOGY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "JAEGER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-343-9224",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 14, 2012; 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.