Organization Active NPI

Kunal K. Patra, M.D., P.C.

  • Psychiatry Physician
  • Dakota Dunes, SD
National Provider Identifier
1790160323
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9089 Issued in SD
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

Updated by the provider on Jul 27, 2015

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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. Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.