Individual provider Active NPI

Chad Edward Stapp, DPM

  • Podiatrist
  • Aberdeen, SD
National Provider Identifier
1952438996
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
190 Issued in SD
Practice address
310 S Penn St Ste 203
Aberdeen, SD 57401-4553
Phone
(605) 622-2570
Fax
(605) 622-2571
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 190 SD Primary

Addresses

Primary practice location

310 S Penn St Ste 203
Aberdeen, SD 57401-4553

Mailing address

PO Box 1460
Aberdeen, SD 57402-1460
Phone (605) 622-2570

Other identifiers 6

IdentifierTypeStateIssuer
190OtherSDDAKOTACARE
6802130MedicaidSD
D41481053837OtherSDPREFERRED ONE
253361OtherSDMIDLANDS CHOICE
14717MedicaidND
4992408OtherSDWELLMARK BC/BS OF SD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070523000147 SD Practitioner - Podiatry 7113024340 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera St LukesGroup PAC ID 6406764927, 164 clinicians

Practice addresses (Care Compare)

111 W 10TH Ave
Redfield, SD 57469-1519
Phone (605) 622-2573

305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5100

701 8TH Ave NW
Aberdeen, SD 57401-1865

8 E US Hwy 12
Groton, SD 57445-2176
Phone (605) 397-4242

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue205
Removal of skin lesions14
Removal of nail tissue56
Removal or shaving of skin growth20
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Gettysburg CurrentSince Aug 24, 2021 Accepting new patients
Avera Gettysburg Current Accepting new patients
Avera St. Lukes CurrentSince Jan 21, 2008 Accepting new patients
Avera St. Luke'S Current Accepting new patients
Avera St. Luke'S CurrentSince Jan 21, 2008 Accepting new patients

Locations

201 S Lloyd St
Aberdeen, SD 57401
Phone (602) 225-8800

305 S State St
Aberdeen, SD 57401
Phone (605) 229-3000

201 S Lloyd St
Ste 110
Aberdeen, SD 57401
Phone (605) 229-0205

310 S Pennsylvania St
Ste 203
Aberdeen, SD 57401
Phone (605) 225-7326

201 S Lloyd St
Ste W110
Aberdeen, SD 57401
Phone (605) 225-0025

105 S State St
Ste 204
Aberdeen, SD 57401
Phone (605) 622-2857

606 E Garfield Ave
Ste C
Gettysburg, SD 57442
Phone (605) 765-2273

Interoperability endpoints

  • Direct secure messaging: chad.stapp@avera.sdhealthlink.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1952438996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574021460",
            "telephone_number": "605-622-2570",
            "fax_number": "605-622-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S PENN ST STE 203",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014553",
            "telephone_number": "605-622-2570",
            "fax_number": "605-622-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPP",
        "first_name": "CHAD",
        "middle_name": "EDWARD",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SD",
            "license": "190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "190",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6802130",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "D41481053837",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "253361",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14717",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS OF SD",
            "identifier": "4992408",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.