BLACK HILLS ORTHOTICS & PROSTHETICS NPI 1063553287

NPI Information

  • NPI: 1063553287
  • Provider Name: BLACK HILLS ORTHOTICS & PROSTHETICS
  • Classification: Specialist - 1744P3200X
  • Specialization: Prosthetics Case Management
  • Entity Type: Organization
  • Address: 1802 ELM AVE
    RAPID CITY, SD
    ZIP 57701
  • Phone: (605) 341-8577

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NPI Details

BLACK HILLS ORTHOTICS & PROSTHETICS is a prosthetics case management specialist in Rapid City, SD. The provider is Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics. BLACK HILLS ORTHOTICS & PROSTHETICS NPI is 1063553287. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1802 ELM AVE
RAPID CITY, SD
ZIP 57701-846
Phone: (605) 341-8577
Fax: (605) 341-7656

The provider's authorized official is Mark Alan Parrell .
The authorized official title is Owner Certified Orthotist and has the following contact phone number (605) 341-8577.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 7/21/2022.

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
11744P3200XSpecialistProsthetics Case Management53-001-E-STSOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19151810MEDICAIDSOUTH DAKOTA

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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