DR. DAVID SUPECK DO PHD NPI 1861954372

NPI Information

  • NPI: 1861954372
  • Provider Name: DR. DAVID SUPECK, DO, PHD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1210 W 18TH ST STE LL03
    SIOUX FALLS, SD
    ZIP 57104
  • Phone: (605) 328-1410

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NPI Details

DR. David Supeck, DO, PHD is a diagnostic radiology radiology in Sioux Falls, SD with 7 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. David Supeck, DO, PHD NPI is 1861954372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2019

The provider's business location address is:

1210 W 18TH ST STE LL03
SIOUX FALLS, SD
ZIP 57104-654
Phone: (605) 328-1410

The NPI 1861954372 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/3/2019 and was last updated on 11/25/2025.

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
12085R0202XRadiologyDiagnostic Radiology16837SOUTH DAKOTAYes
22085R0202XRadiologyDiagnostic Radiology008761ARIZONANo

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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