SHAKOPEE MDEWAKANTON SIOUX COMMUNITY NPI 1013933381

NPI Information

  • NPI: 1013933381
  • Provider Name: SHAKOPEE MDEWAKANTON SIOUX COMMUNITY
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 24D0864231
  • Address: 2330 SIOUX TRL NW
    PRIOR LAKE, MN
    ZIP 55372
  • Phone: (952) 496-6150

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NPI Details

SHAKOPEE MDEWAKANTON SIOUX COMMUNITY is a family medicine in Prior Lake, MN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SHAKOPEE MDEWAKANTON SIOUX COMMUNITY NPI is 1013933381. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

2330 SIOUX TRL NW
PRIOR LAKE, MN
ZIP 55372-077
Phone: (952) 496-6150
Fax: (952) 233-4224

The provider's authorized official is Melaine J Dunlap .
The authorized official title is Health Director and has the following contact phone number (952) 496-6151.

The CLIA number assigned to this NPI record is 24D0864231 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 1/31/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2111N00000XChiropractorNo
31223G0001XDentistGeneral PracticeNo
4152W00000XOptometristNo
5207Q00000XFamily MedicineYes
6224Z00000XOccupational Therapy AssistantNo
7225200000XPhysical Therapy AssistantNo
8363A00000XPhysician AssistantNo
9363LF0000XNurse PractitionerFamilyNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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