Egon Dzintars

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1800 Issued in SD

Practice address

717 Saint Francis St
Rapid City, SD 57701-4677

Phone

(605) 342-2880

Fax

(605) 388-4621

NPI assigned

May 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1770530438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6020",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577096020",
            "telephone_number": "605-342-3280",
            "fax_number": "605-721-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 SAINT FRANCIS ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014677",
            "telephone_number": "605-342-2880",
            "fax_number": "605-388-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZINTARS",
        "first_name": "EGON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "1800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5604727",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080169995",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0008007",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kate Ellen Dyer, CNP
• Stephanie Dyer
• Aaron Douglas Dykstra, M.D.
• Anna Malena Waterland Dykstra, CNM
• Dynamic Kids Physical Therapy, LLC
• Lesley Anne Dzintars, LPC-MH, QMHP
• Rita Dzintars
• Lori Ann Earles
• Karen Sue Easterwood, LPN
• Teresa Eastman, PHARMACIST

• Family Medicine Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Family Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.