West River Ear Nose and Throat, Prof., L.L.C.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0566 Issued in SD

Legal business name

WEST RIVER EAR NOSE AND THROAT, PROF., L.L.C.

Practice address

4940 5TH St Ste 2B
Rapid City, SD 57701-6026

Phone

(605) 791-0602

Fax

(605) 791-0978

NPI assigned

Aug 28, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jack R Schleiffarth, M.D.

Title

Member-Manager

Phone

(605) 791-0602

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1861973760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 5TH ST STE 2B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016026",
            "telephone_number": "605-791-0602",
            "fax_number": "605-791-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 5TH ST STE 2B",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016026",
            "telephone_number": "605-791-0602",
            "fax_number": "605-791-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST RIVER EAR NOSE AND THROAT, PROF., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "SCHLEIFFARTH",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "605-791-0602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "SD",
            "license": "0566",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tanya Westbrock, OT

• Otolaryngology Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Otolaryngology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.