Individual provider Active NPI

Deltron C Donaldson, D MIN LMFT

  • Marriage & Family Therapist
  • Sioux Falls, SD
National Provider Identifier
1992707509
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1096 Issued in SD
Practice address
1410 W 25TH St
Sioux Falls, SD 57105-1552
Phone
(605) 334-2696
Fax
(605) 339-9944
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1096 SD Primary

Addresses

Primary practice location

1410 W 25TH St
Sioux Falls, SD 57105-1552

Mailing address

1410 W 25TH St
Sioux Falls, SD 57105-1552
Phone (605) 334-2696

Other identifiers 2

IdentifierTypeStateIssuer
30G61D0OtherMNBCBS
218521034045OtherPREFERRED ONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1096SDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Baptist Seminary Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992707509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 W 25TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051552",
            "telephone_number": "605-334-2696",
            "fax_number": "605-339-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 W 25TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051552",
            "telephone_number": "605-334-2696",
            "fax_number": "605-339-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "DELTRON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D MIN LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "SD",
            "license": "1096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30G61D0",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "218521034045",
            "state": null
        }
    ],
    "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 Jul 8, 2007; 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.