Active NPI
Kunal K. Patra, M.D., P.C.
- Psychiatry Physician
- Dakota Dunes, SD
National Provider Identifier
1790160323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 9089
- Legal business name
- KUNAL K. PATRA, M.D., P.C.
- Doing business as
- ONE PSYCHIATRY INC.
- Practice address
- 211 Sioux Point Road
Dakota Dunes, SD 57049-5092 - Phone
- (712) 574-9936
- NPI assigned
- Jul 24, 2015
- 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. Kunal K Patra, M.D.
- Title
- President
- Phone
- (712) 574-9936
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 9089 | SD | Primary |
Addresses
Primary practice location
211 Sioux Point Road
Dakota Dunes, SD 57049-5092
Mailing address
410 Bayhill Cir
Dakota Dunes, SD 57049-5092
Phone (605) 232-2082
Other names 1
- ONE PSYCHIATRY INC.
National Provider Directory
National Provider DirectoryLocations
211 Sioux Point Rd
Ste 300
Dakota Dunes, SD 57049
Phone (605) 242-0024
211 Sioux Point Rd
Dakota Dunes, SD 57049
Phone (712) 574-9936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437955200000",
"number": "1790160323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 BAYHILL CIR",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495092",
"telephone_number": "605-232-2082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 SIOUX POINT ROAD",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495092",
"telephone_number": "712-574-9936"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KUNAL K. PATRA, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-24",
"last_updated": "2015-07-27",
"status": "A",
"authorized_official_last_name": "PATRA",
"authorized_official_first_name": "KUNAL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "712-574-9936",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SD",
"license": "9089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ONE PSYCHIATRY INC.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dakota Dunes, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.