NPIMap

Organization Active NPI

Dunes Anesthesia PC

  • Pain Medicine (Anesthesiology) Physician
  • Dakota Dunes, SD
National Provider Identifier
1801810585
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
DUNES ANESTHESIA PC
Practice address
101 Tower Rd
Suite 103
Dakota Dunes, SD 57049-5007
Phone
(605) 242-7246
Fax
(605) 242-3474
NPI assigned
Jul 27, 2006
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Todd C Johnson, M.D.NPI 1205857901
Title
President
Phone
(605) 242-7246

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X
Pain Medicine (Anesthesiology) Physician 207LP2900X Primary

Addresses

Primary practice location

101 Tower Rd
Suite 103
Dakota Dunes, SD 57049-5007

Mailing address

101 Tower Rd Ste 103
Dakota Dunes, SD 57049-5007
Phone (605) 339-6525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE, IA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040604000767 SD Part B Supplier - Clinic/Group Practice 9537141254 Receives reassigned benefits from 11 practitioners
Practice locations: Dakota Dunes, SD; Milbank, SD; Yankton, SD
O20070410000239 NE Part B Supplier - Clinic/Group Practice 9537141254 Receives reassigned benefits from 8 practitioners
Practice locations: Pender, NE
O20161219002452 IA Part B Supplier - Clinic/Group Practice 9537141254 Receives reassigned benefits from 7 practitioners
Practice locations: Spencer, IA; Sioux City, IA; Primghar, IA; Onawa, IA
O20190712000233 NE DME Supplier - Physician - Anesthesiology 9537141254 Practice locations: Norfolk, NE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

20 W 6th St
Ste 1
Spencer, IA 51301
Phone (515) 574-6880

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1801810585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TOWER RD STE 103",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495007",
            "telephone_number": "605-339-6525",
            "fax_number": "605-339-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWER RD",
            "address_2": "SUITE 103",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495007",
            "telephone_number": "605-242-7246",
            "fax_number": "605-242-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNES ANESTHESIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-242-7246",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "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 Sep 7, 2023; 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.