Active NPI
Dermsd LLC
- Dermatology Physician
- Dakota Dunes, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- DERMSD LLC
- Practice address
- 211 Sioux Point Rd Ste 200
Dakota Dunes, SD 57049-5492 - Phone
- (605) 422-3000
- Fax
- (605) 422-3001
- NPI assigned
- Jun 22, 2021
- 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
- Patrick Safo, MD/PHD
- Title
- Physician/Owner
- Phone
- (605) 422-3000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
211 Sioux Point Rd Ste 200
Dakota Dunes, SD 57049-5492
Mailing address
211 Sioux Point Rd Ste 200
Dakota Dunes, SD 57049-5492
Phone (605) 422-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, IA, NE, KS
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211103000120 | SD | Part B Supplier - Clinic/Group Practice | 5597153072 |
Receives reassigned benefits from 7 practitioners Practice locations: Dakota Dunes, SD |
| O20220915001068 | IA | Part B Supplier - Clinic/Group Practice | 5597153072 |
Receives reassigned benefits from 8 practitioners Practice locations: Hawarden, IA; Sioux Center, IA; Ida Grove, IA; Onawa, IA |
| O20221108002715 | NE | Part B Supplier - Clinic/Group Practice | 5597153072 |
Receives reassigned benefits from 5 practitioners Practice locations: Wayne, NE |
| O20260211003989 | KS | Part B Supplier - Clinic/Group Practice | 5597153072 |
Receives reassigned benefits from 3 practitioners Practice locations: Wichita, KS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 43D2227851 | Dermsd LLC | Compliance | Feb 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
1015 8th St
Onawa, IA 51040
Phone (605) 422-3000
1900 N Amidon Ave
Ste 214
Wichita, KS 67203
Phone (316) 400-5090
211 Sioux Point Rd
Ste 200
Dakota Dunes, SD 57049
Phone (605) 242-3456
330 Dakota Dunes Blvd
Ste 400
North Sioux City, SD 57049
Phone (605) 422-3000
1330 E Main St
Vermillion, SD 57069
Phone (605) 624-5666
9 E Main St
Vermillion, SD 57069
Phone (605) 624-8805
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Stevens Point, WI
- NPI 1104088202
Dermatology, IA, KS, NE, SD
-
- Dermatology Physician
- Tucson, AZ
- NPI 1003079773
Dermatology, IA, KS, NE, SD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776211200000",
"number": "1801465976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 SIOUX POINT RD STE 200",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495492",
"telephone_number": "605-422-3000",
"fax_number": "605-422-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 SIOUX POINT RD STE 200",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495492",
"telephone_number": "605-422-3000",
"fax_number": "605-422-3001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERMSD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-22",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A",
"authorized_official_last_name": "SAFO",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "605-422-3000",
"authorized_official_credential": "MD/PHD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.