Organization Active NPI

Mitchell Bone and Joint Surgery

  • Orthopaedic Surgery Physician
  • Mitchell, SD
National Provider Identifier
1962598029
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4899 Issued in SD
Legal business name
MITCHELL BONE AND JOINT SURGERY
Practice address
625 N Foster St
Suite 200
Mitchell, SD 57301-2969
Phone
(605) 996-1800
Fax
(605) 996-7272
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Felix Flores Ungacta, MDNPI 1669568754
Title
Owner
Phone
(605) 996-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 4899 SD Primary

Addresses

Primary practice location

625 N Foster St
Suite 200
Mitchell, SD 57301-2969

Mailing address

625 N Foster St
Suite 200
Mitchell, SD 57301-2969
Phone (605) 996-1800

Other identifiers 1

IdentifierTypeStateIssuer
6402082MedicaidSD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962598029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N FOSTER ST",
            "address_2": "SUITE 200",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012969",
            "telephone_number": "605-996-1800",
            "fax_number": "605-996-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N FOSTER ST",
            "address_2": "SUITE 200",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012969",
            "telephone_number": "605-996-1800",
            "fax_number": "605-996-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL BONE AND JOINT SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UNGACTA",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "FLORES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-996-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "SD",
            "license": "4899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6402082",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.