BLACK HILLS DERMATOLOGY PC NPI 1497727028

NPI Information

  • NPI: 1497727028
  • Provider Name: BLACK HILLS DERMATOLOGY PC
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • Doing Business As: BLACK HILLS DERMATOLOGY AND LASER SURGERY CENTRE
  • Address: 7236 JORDAN DRIVE SUITE 101
    RAPID CITY, SD
    ZIP 57702
  • Phone: (605) 341-5565

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NPI Details

BLACK HILLS DERMATOLOGY PC is a dermatology in Rapid City, SD. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. BLACK HILLS DERMATOLOGY PC NPI is 1497727028. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Black Hills Dermatology And Laser Surgery Centre.

The provider's business location address is:

7236 JORDAN DRIVE SUITE 101
RAPID CITY, SD
ZIP 57702-740
Phone: (605) 341-5565
Fax: (605) 341-5595

The provider's authorized official is Jason W Gorman .
The authorized official title is Administrator and has the following contact phone number (605) 341-5565.

The enumeration date for this NPI number is 2/7/2006 and was last updated on 5/20/2008.

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
1207ND0101XDermatologyMOHS-Micrographic Surgery0370SOUTH DAKOTANo
2207ND0900XDermatologyDermatopathology0370SOUTH DAKOTANo
3207NP0225XDermatologyPediatric Dermatology0370SOUTH DAKOTANo
4207N00000XDermatology0370SOUTH 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
10040885OTHERSOUTH DAKOTAWELLMARK BCBS NUMBER
2=========OTHERSOUTH DAKOTATRICARE ID NUMBER
340885MEDICARE ID-TYPE UNSPECIFIEDSOUTH DAKOTASD MEDICARE NUMBER
49486MEDICARE ID-TYPE UNSPECIFIEDWYOMINGWYOMING MEDICARE
5DB4102MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINARAILROAD MEDICARE NUMBER

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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