Organization Active NPI

Aberdeen Area Digital Telemammography Unit

  • Mobile Mammography Clinic/Center
  • Aberdeen, SD
National Provider Identifier
1750576138
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Mammography Clinic/CenterTaxonomy code 261QR0207X
Legal business name
ABERDEEN AREA DIGITAL TELEMAMMOGRAPHY UNIT
Practice address
115 4TH Ave SE
Federal Building Room 309
Aberdeen, SD 57401-4310
Phone
(605) 226-7726
Fax
(605) 226-7508
NPI assigned
Sep 10, 2007
Last updated
Sep 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Dr. Sara K. Dye
Title
Acting Area Director
Phone
(605) 226-7582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Mammography Clinic/Center 261QR0207X Primary

Addresses

Primary practice location

115 4TH Ave SE
Federal Building Room 309
Aberdeen, SD 57401-4310

Mailing address

115 4TH Ave SE
Federal Building Room 309
Aberdeen, SD 57401-4310

Other identifiers 2

IdentifierTypeStateIssuer
7201420MedicaidSD
13806MedicaidND

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1750576138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 4TH AVE SE",
            "address_2": "FEDERAL BUILDING ROOM 309",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 4TH AVE SE",
            "address_2": "FEDERAL BUILDING ROOM 309",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014310",
            "telephone_number": "605-226-7726",
            "fax_number": "605-226-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABERDEEN AREA DIGITAL TELEMAMMOGRAPHY UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "DYE",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ACTING AREA DIRECTOR",
        "authorized_official_telephone_number": "605-226-7582",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QR0207X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7201420",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13806",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.