NPIMap

Organization Active NPI

TTB Services Prof LLC

  • Certified Registered Nurse Anesthetist
  • Sioux Falls, SD
National Provider Identifier
1962743492
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
TTB SERVICES PROF LLC
Practice address
3101 W 57TH St
Sioux Falls, SD 57108-3162
Phone
(605) 361-3937
Fax
(605) 371-7199
NPI assigned
Mar 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
John Palmer Berdahl, MDNPI 1871761577
Title
Owner
Phone
(605) 361-3937

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
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

3101 W 57TH St
Sioux Falls, SD 57108-3162

Mailing address

3101 W 57TH St
Sioux Falls, SD 57108-3162
Phone (605) 361-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE, MN, IA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20130918000854 SD Part B Supplier - Clinic/Group Practice 3476797135 Receives reassigned benefits from 17 practitioners
Practice locations: Sioux Falls, SD
O20220629001029 NE Part B Supplier - Clinic/Group Practice 3476797135 Receives reassigned benefits from 9 practitioners
Practice locations: Omaha, NE
O20230921004300 MN Part B Supplier - Clinic/Group Practice 3476797135 Receives reassigned benefits from 4 practitioners
Practice locations: Alexandria, MN
O20250520000930 IA Part B Supplier - Clinic/Group Practice 3476797135 Receives reassigned benefits from 4 practitioners
Practice locations: Cedar Rapids, IA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4909 S 118th St
Omaha, NE 68137
Phone (402) 397-2010

Practitioners & affiliated clinicians

Practitioners 38

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 38

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1962743492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083162",
            "telephone_number": "605-361-3937",
            "fax_number": "605-371-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W 57TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083162",
            "telephone_number": "605-361-3937",
            "fax_number": "605-371-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TTB SERVICES PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "BERDAHL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PALMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-361-3937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 19, 2024; 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.