Active NPI
Reuben C Setliff III, MD
- Otolaryngology Physician
- Sioux Falls, SD
National Provider Identifier
1881651958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 3904
- Practice address
- 2709 E 26TH St
Sioux Falls, SD 57103-4016 - Phone
- (605) 339-1872
- Fax
- (605) 339-3872
- NPI assigned
- May 1, 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 3904 | SD | Primary |
Addresses
Primary practice location
2709 E 26TH St
Sioux Falls, SD 57103-4016
Mailing address
2709 E 26TH St
Sioux Falls, SD 57103
Phone (605) 339-1872
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 976215900 | Medicaid | MN | |
| 0004987 | Other | SD | BCBS |
| 0937979 | Medicaid | IA | |
| 122054300 | Medicaid | WY | |
| 040011975 | Other | RAILROAD MEDICARE | |
| 5602343 | Medicaid | SD | |
| 22199 | Other | NE | BCBS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350950400000",
"number": "1881651958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2709 E 26TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "57103",
"telephone_number": "605-339-1872",
"fax_number": "605-339-3872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2709 E 26TH ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571034016",
"telephone_number": "605-339-1872",
"fax_number": "605-339-3872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SETLIFF",
"first_name": "REUBEN",
"middle_name": "C",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2012-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "SD",
"license": "3904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "976215900",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0004987",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0937979",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122054300",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "040011975",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5602343",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "22199",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}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 Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.