Organization Active NPI

Dakota ENT and Sinus Clinic, P.C.

  • Otolaryngology Physician
  • Sioux Falls, SD
National Provider Identifier
1750633004
Registry record updated Dec 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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

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.

Verify at the official NPI Registry.