Active NPI
Dakota ENT and Sinus Clinic, P.C.
- Otolaryngology Physician
- Sioux Falls, SD
National Provider Identifier
1750633004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- DAKOTA ENT AND SINUS CLINIC, P.C.
- Practice address
- 6709 S Minnesota Ave
Suite 206
Sioux Falls, SD 57108-2592 - Phone
- (605) 575-1000
- Fax
- (605) 575-1004
- NPI assigned
- Oct 11, 2012
- Last updated
- Dec 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Gregory Desautel, MD
- Title
- Owner
- Phone
- (605) 575-1000
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | NU | Primary | |
| Pediatric Otolaryngology Physician | 207YP0228X | NU | ||
| Facial Plastic Surgery Physician | 207YS0123X | NU | ||
| Otolaryngic Allergy Physician | 207YX0602X | NU | ||
| Otology & Neurotology Physician | 207YX0901X | NU | ||
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | NU |
Addresses
Primary practice location
6709 S Minnesota Ave
Suite 206
Sioux Falls, SD 57108-2592
Mailing address
6709 S Minnesota Ave
Suite 206
Sioux Falls, SD 57108-2592
Phone (605) 575-1000
National Provider Directory
National Provider DirectoryLocations
6709 S Minnesota Ave
Ste 206
Sioux Falls, SD 57108
Phone (605) 274-7440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355097600000",
"number": "1750633004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6709 S MINNESOTA AVE",
"address_2": "SUITE 206",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082592",
"telephone_number": "605-575-1000",
"fax_number": "605-575-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6709 S MINNESOTA AVE",
"address_2": "SUITE 206",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571082592",
"telephone_number": "605-575-1000",
"fax_number": "605-575-1004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAKOTA ENT AND SINUS CLINIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-11",
"last_updated": "2012-12-10",
"status": "A",
"authorized_official_last_name": "DESAUTEL",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "GREGORY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "605-575-1000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
- Dakota Chiropractic & Wellness Center Prof LLC
- Dakota Dental
- Dakota Dermatology, LTD
- Dakota Dietitians, LLC.
- Dakota Endocrinology LLC
- Dakota Hearing Instruments
- Dakota Hope Counseling LLC (Dakota Hope Counseling)
- Dakota Life Chiropractic PC
- Dakota Med Transportation (Non-Emergeny Medical Transportation)
- Dakota Non-Medical Transportation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.