Individual provider Active NPI

Francis Christopher Bandettini, D.O.

  • Psychiatry Physician
  • Sioux Falls, SD
National Provider Identifier
1942325428
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
SD3509 Issued in SD
Practice address
2500 W 49TH St
Suite 206
Sioux Falls, SD 57105-6580
Phone
(605) 367-9476
Fax
(605) 367-9481
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X SD3509 SD Primary

Addresses

Primary practice location

2500 W 49TH St
Suite 206
Sioux Falls, SD 57105-6580

Mailing address

PO Box 432
Baltic, SD 57003-0432
Phone (605) 367-9476

Other identifiers 6

IdentifierTypeStateIssuer
6137OtherNEMIDLANDS CHOICE
23382OtherSDSANFORD HEALTH(SVHP)
3953687MedicaidIA
0008021OtherSDWELLMARK-BCBS
8732237OtherSDDAKOTACARE
7100224MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2015 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
SD3509SDMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942325428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "BALTIC",
            "state": "SD",
            "postal_code": "570030432",
            "telephone_number": "605-367-9476",
            "fax_number": "605-367-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W 49TH ST",
            "address_2": "SUITE 206",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056580",
            "telephone_number": "605-367-9476",
            "fax_number": "605-367-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDETTINI",
        "first_name": "FRANCIS",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SD",
            "license": "SD3509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "6137",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFORD HEALTH(SVHP)",
            "identifier": "23382",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3953687",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK-BCBS",
            "identifier": "0008021",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "8732237",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100224",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.