DAKOTA VASCULAR PROF LLC NPI 1407591258

NPI Information

  • NPI: 1407591258
  • Provider Name: DAKOTA VASCULAR PROF LLC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Doing Business As: DAKOTA VASCULAR
  • CLIA Number: 43D2265170
  • Address: 3801 S ELMWOOD AVE
    SIOUX FALLS, SD
    ZIP 57105
  • Phone: (605) 306-6100

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NPI Details

DAKOTA VASCULAR PROF LLC is a vascular surgery surgery in Sioux Falls, SD. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DAKOTA VASCULAR PROF LLC NPI is 1407591258. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dakota Vascular.

The provider's business location address is:

3801 S ELMWOOD AVE
SIOUX FALLS, SD
ZIP 57105-565
Phone: (605) 306-6100
Fax: (605) 306-6500

The provider's authorized official is Amanda Jane Saeger .
The authorized official title is Chief Of Operations and has the following contact phone number (605) 306-6140.

The CLIA number assigned to this NPI record is 43D2265170 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2022 and was last updated on 8/7/2022.

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
12086S0129XSurgeryVascular SurgeryYes

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: 3/30/2025

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