R. P. Renka, M.D.,P.C.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

0133 Issued in SD

Legal business name

R. P. RENKA, M.D.,P.C.

Doing business as

Black Hills Psychiatry Associates

Practice address

528 Quincy St
Rapid City, SD 57701-3628

Phone

(605) 348-5401

Fax

(605) 348-7319

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard Pierce Renka, MDNPI 1801882287

Title

President

Phone

(605) 348-5401

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Black Hills Psychiatry Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Pierce Renka, MD

  • Psychiatry Physician
  • Rapid City, SD
  • NPI 1801882287
  Medicare reassignment NPD Authorized official
• Clifford Gary Daiss, M.ED.

  • Social Worker
  • Rapid City, SD
  • NPI 1285653360
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1770660714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 QUINCY ST",
            "address_2": "P O BOX 288",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013628",
            "telephone_number": "605-348-5401",
            "fax_number": "605-348-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 QUINCY ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013628",
            "telephone_number": "605-348-5401",
            "fax_number": "605-348-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. P. RENKA, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "RENKA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PIERCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-348-5401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "SD",
            "license": "0133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100070",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Hills Psychiatry Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kari Jo Quaschnick, D.C.
• Lynette Rae Quast, PH.D.
• Connie Quigley Lange
• Bailey Rose Quinn
• Qvidity, LLC
• Erik Benson Raborn, DO MPH
• Cassandra Anne Raby, MA
• Jessica Rachetto, PA-C
• Radical Hope LLC
• Radiology Associates Prof, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.