DR. DALE E VIZCARRA MD NPI 1992768469

NPI Information

NPI: 1992768469
Provider Name: DR. DALE E VIZCARRA, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 100 MAC LANE
AVERA MEDICAL GROUP PIERRE
PIERRE, SD
ZIP 57501
Phone: (605) 224-5901

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NPI Details

DR. Dale E Vizcarra, MD is a family medicine in Pierre, SD. 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. DR. Dale E Vizcarra, MD NPI is 1992768469. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 MAC LANE
AVERA MEDICAL GROUP PIERRE
PIERRE, SD
ZIP 57501
Phone: (605) 224-5901
Fax: (605) 945-5096

The NPI 1992768469 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 4/27/2012.

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
1	207Q00000X	Family Medicine		3600	SOUTH DAKOTA	No
2	207Q00000X	Family Medicine		SD3600	SOUTH DAKOTA	Yes

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
1	E93169	MEDICARE UPIN	SOUTH DAKOTA
2	5609170	MEDICAID	SOUTH DAKOTA
3	2297	MEDICARE ID-TYPE UNSPECIFIED	SOUTH DAKOTA
4	5609172	MEDICAID	SOUTH DAKOTA
5	103055	MEDICARE PIN	SOUTH 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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