Dakota Plains Surgical LLP

Primary specialty

Special HospitalTaxonomy code 284300000X

License

10584 Issued in SD

Legal business name

DAKOTA PLAINS SURGICAL LLP

Practice address

701 8TH Ave NW
Aberdeen, SD 57401-1803

Phone

(605) 225-3300

Fax

(605) 225-3877

NPI assigned

Jul 20, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Deb Pederson, RN

Title

Director of Nursing

Phone

(605) 226-9706

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 430092

Legal name

DAKOTA PLAINS SURGICAL CENTER LLP

Certification status

Terminated Voluntary: merger or closure, Jul 1, 2015

Provider type (POS)

Hospital – Short-term

Participating since

Jun 10, 1998

Last certification

Apr 18, 2012

Beds

15

Ownership / control type

Physician ownership

Facility address

701 8TH Avenue NW Suite C
Aberdeen, SD 57401

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew C Reynen, M.D.

  • Orthopaedic Surgery Physician
  • Aberdeen, SD
  • NPI 1245236785
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1871592030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 8TH AVE NW",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574011803",
            "telephone_number": "605-225-3300",
            "fax_number": "605-225-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 8TH AVE NW",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574011803",
            "telephone_number": "605-225-3300",
            "fax_number": "605-225-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA PLAINS SURGICAL LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "PEDERSON",
        "authorized_official_first_name": "DEB",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "605-226-9706",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "SD",
            "license": "10584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "142543900",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5508040",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIMEWEST",
            "identifier": "060227009",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108040",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "57401",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6800078",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ",
            "identifier": "771940",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1383",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFORD HEALTH PLAN",
            "identifier": "21388",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "80092",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Cybulski, PT
• D N D Inc
• Jennifer Joyce Daggett, PHARMD
• Dakota Chiropractic of Aberdeen, PC
• Dakota Group LLC
• Dakota Pulmonary PLLC
• Dakota Roots Health Care PLLC
• Brian R Dannen, LPCMH
• Paige Elizabeth Dargatz, NP-C
• Darold D Opp DDS PC

• Special Hospital in Aberdeen, SD
• Providers in Aberdeen, SD by specialty
• Special Hospital in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.