Active NPI
Robert E Anderson, MD
- Surgery Physician
- Dakota Dunes, SD
National Provider Identifier
1831165307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 3882
- Practice address
- 705 Sioux Point Rd
Suite 100
Dakota Dunes, SD 57049-5091 - Phone
- (605) 217-5500
- Fax
- (605) 217-5515
- NPI assigned
- Feb 24, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 3882 | SD | Primary |
Addresses
Primary practice location
705 Sioux Point Rd
Suite 100
Dakota Dunes, SD 57049-5091
Mailing address
705 Sioux Point Rd
Suite 100
Dakota Dunes, SD 57049-5091
Phone (605) 217-5500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7302050 | Medicaid | SD | |
| 020029093 | Other | SD | RRMEDICARE |
| 0049510 | Medicaid | IA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Midlands Clinic, P.C. | Current | Accepting new patients |
Locations
300 Sioux Valley Dr
Cherokee, IA 51012
Phone (712) 225-3368
705 N Sioux Point Rd
Ste 100
North Sioux City, SD 57049
Phone (605) 217-5566
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Cherokee, IA
- NPI 1508041344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1831165307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 SIOUX POINT RD",
"address_2": "SUITE 100",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495091",
"telephone_number": "605-217-5500",
"fax_number": "605-217-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 SIOUX POINT RD",
"address_2": "SUITE 100",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495091",
"telephone_number": "605-217-5500",
"fax_number": "605-217-5515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ROBERT",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SD",
"license": "3882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7302050",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMEDICARE",
"identifier": "020029093",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0049510",
"state": "IA"
}
],
"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 Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.