NPIMap

Organization Active NPI

Sanford Clinic

Doing business as Sanford Children's Specialty Clinic

  • Pediatrics Physician
  • Sioux Falls, SD
National Provider Identifier
1881610889
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SANFORD CLINIC
Doing business as
Sanford Children's Specialty Clinic
Practice address
1600 W 22ND St
Sioux Falls, SD 57105-1521
Phone
(605) 312-1000
Fax
(605) 312-1001
NPI assigned
Jul 14, 2006
Last updated
Jul 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Tony Lee Morrison
Title
Vice President, Revenue Cycle
Phone
(605) 328-8380

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Psychologist 103T00000X NU
Social Worker 104100000X NU
Nutritionist 133N00000X NU
Registered Dietitian 133V00000X NU
Registered Nurse 163W00000X NU
Licensed Practical Nurse 164W00000X NU
Ph.D. Medical Genetics 170100000X NU
Clinical Genetics (M.D.) Physician 207SG0201X NU
Ph.D. Medical Genetics Physician 207SG0205X NU
Pediatrics Physician 208000000X NU Primary
Physical Medicine & Rehabilitation Physician 208100000X NU
Neurology Physician 2084N0400X NU
Pediatric Radiology Physician 2085P0229X NU
Surgery Physician 208600000X NU

Addresses

Primary practice location

1600 W 22ND St
Sioux Falls, SD 57105-1521

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585

Other practice location 1

2905 5th St
Rapid City, SD 57701-7316
Phone (605) 312-1000

Other practice location 2

800 Oak St
Sheldon, IA 51201-1242
Phone (712) 324-5356

Other practice location 3

2534 Glenn Ave
Sioux City, IA 51106-2768
Phone (712) 274-7822

Other practice location 4

640 E Sioux Ave Ste 2
Pierre, SD 57501-3300
Phone (605) 224-2010

Other practice location 5

2100 Highland Way Ste K
Mitchell, SD 57301-6409
Phone (605) 996-0440

Other practice location 6

901 4th St NW
Watertown, SD 57201-1558
Phone (605) 886-8471

Other practice location 7

1500 W 22nd St Ste 401
Sioux Falls, SD 57105-1503
Phone (605) 312-1000

Other practice location 8

922 22nd Ave S
Brookings, SD 57006-2830
Phone (605) 697-1900

Other identifiers 2

IdentifierTypeStateIssuer
916413800MedicaidMN
0573469MedicaidIA

Other names 1

  • Sanford Children's Specialty Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031110000532 SD Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 941 practitioners
This NPI is an additional NPI on the enrollment
O20040216001158 IA Part B Supplier - Clinic/Group Practice 0244143824 Receives reassigned benefits from 66 practitioners
25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sheldon, IA; Sioux City, IA; Rock Rapids, IA; Orange City, IA; Inwood, IA; Hawarden, IA

Other NPIs on the same Medicare enrollment 24

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 24

National Provider Directory

National Provider Directory

Locations

901 4th St NW
Watertown, SD 57201
Phone (605) 882-8780

Practitioners & affiliated clinicians

Practitioners 29

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 29

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1881610889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6585",
            "fax_number": "605-328-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 22ND ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051521",
            "telephone_number": "605-312-1000",
            "fax_number": "605-312-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2905 5th St",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577017316",
            "country_code": "US",
            "telephone_number": "605-312-1000",
            "fax_number": "605-312-1001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Oak St",
            "address_purpose": "LOCATION",
            "city": "Sheldon",
            "state": "IA",
            "postal_code": "512011242",
            "country_code": "US",
            "telephone_number": "712-324-5356",
            "fax_number": "712-324-6373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2534 Glenn Ave",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511062768",
            "country_code": "US",
            "telephone_number": "712-274-7822",
            "fax_number": "712-274-2556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 E Sioux Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Pierre",
            "state": "SD",
            "postal_code": "575013300",
            "country_code": "US",
            "telephone_number": "605-224-2010",
            "fax_number": "605-224-0369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Highland Way Ste K",
            "address_purpose": "LOCATION",
            "city": "Mitchell",
            "state": "SD",
            "postal_code": "573016409",
            "country_code": "US",
            "telephone_number": "605-996-0440",
            "fax_number": "605-996-0401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 4th St NW",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "SD",
            "postal_code": "572011558",
            "country_code": "US",
            "telephone_number": "605-886-8471",
            "fax_number": "605-886-9317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 W 22nd St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571051503",
            "country_code": "US",
            "telephone_number": "605-312-1000",
            "fax_number": "605-312-1001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "922 22nd Ave S",
            "address_purpose": "LOCATION",
            "city": "Brookings",
            "state": "SD",
            "postal_code": "570062830",
            "country_code": "US",
            "telephone_number": "605-697-1900",
            "fax_number": "605-697-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANFORD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VICE PRESIDENT, REVENUE CYCLE",
        "authorized_official_telephone_number": "605-328-8380"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207SG0205X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "916413800",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0573469",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sanford Children's Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford Children's Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.