Active NPI
David Anthony Mentele, PHARMACIST
- Pharmacist
- Rosebud, SD
National Provider Identifier
1801935499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4723
- Practice address
- Rosebud IHS Hospital
Soldier Creek Road
Rosebud, SD 57570 - Phone
- (605) 747-3235
- Fax
- (605) 747-2216
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4723 | SD | Primary |
Addresses
Primary practice location
Rosebud IHS Hospital
Soldier Creek Road
Rosebud, SD 57570
Mailing address
4413 E 36TH St
David Mentele
Sioux Falls, SD 57103
Phone (605) 747-3235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4723 | SD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801935499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4413 E 36TH ST",
"address_2": "DAVID MENTELE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "57103",
"telephone_number": "605-747-3235",
"fax_number": "605-747-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROSEBUD IHS HOSPITAL",
"address_2": "SOLDIER CREEK ROAD",
"city": "ROSEBUD",
"state": "SD",
"postal_code": "57570",
"telephone_number": "605-747-3235",
"fax_number": "605-747-2216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENTELE",
"first_name": "DAVID",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "4723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosebud, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.