Organization Active NPI

Qvidity, LLC

  • Health Service Clinic/Center
  • Rapid City, SD
National Provider Identifier
1992153225
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
QVIDITY, LLC
Practice address
1935 Samco Rd
Ste 106
Rapid City, SD 57702-6223
Phone
(605) 721-9935
Fax
(605) 718-0769
NPI assigned
May 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Dr. Jeremy Storm, D.O.
Title
President/Ceo
Phone
(605) 721-9935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1935 Samco Rd
Ste 106
Rapid City, SD 57702-6223

Mailing address

1935 Samco Rd
Ste 106
Rapid City, SD 57702-6223
Phone (605) 721-9935

National Provider Directory

National Provider Directory

Locations

1935 Samco Rd
Ste 106
Rapid City, SD 57702
Phone (605) 721-9935

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1992153225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 SAMCO RD",
            "address_2": "STE 106",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577026223",
            "telephone_number": "605-721-9935",
            "fax_number": "605-718-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 SAMCO RD",
            "address_2": "STE 106",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577026223",
            "telephone_number": "605-721-9935",
            "fax_number": "605-718-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QVIDITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "STORM",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "605-721-9935",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.