DR. DOMINIC SHUTTLEWORTH DO
NPI 1215673504
Student in an Organized Health Care Education/Training Program in Sioux Falls, SD
NPI Status: Active since May 09, 2022
Contact Information
1115 E 20TH ST
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 333-1000
- Individual
- Male
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About DOMINIC SHUTTLEWORTH
This page provides the complete NPI Profile along with additional information for Dominic Shuttleworth, a primary care provider established in Sioux Falls, South Dakota with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1215673504 assigned on May 2022. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1215673504
- Provider Name
- DR. DOMINIC SHUTTLEWORTH DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1115 E 20TH ST SIOUX FALLS, SD 57105
- Location Phone
- (605) 333-1000
- Mailing Address
- 204 E MEADE ST RAPID CITY, SD 57701
- Mailing Phone
- (907) 978-5614
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-09-2022
- Last Update Date
- 05-09-2022
- Code Navigator
A primary care provider (PCP) like Dominic Shuttleworth sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- License State
- SD
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Dominic Shuttleworth is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 6 | 7 | 3 | 5 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 12 | 7 | 6 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 1 + 2 + 7 + 6 + 5 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1215673504 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831177674 | DAVID A BRECHTELSBAUER MD Individual | Family Medicine | 1115 E 20TH ST SIOUX FALLS, SD 57105 (605) 339-1783 |
| 1417929845 | ROBIN M MEYER D.O. Individual | Family Medicine | 1115 E 20TH ST SIOUX FALLS, SD 57105 (605) 575-1616 |
| 1134191547 | EARL D KEMP MD Individual | Family Medicine | 1115 E 20TH ST SIOUX FALLS, SD 57105 (605) 339-1783 |
| 1962474031 | MARY E. WATSON M. D. Individual | Family Medicine | 1115 E 20TH ST SIOUX FALLS, SD 57105 (605) 575-1616 |
| 1467424291 | JAMES R WILDE M.D. Individual | Family Medicine | 1115 E 20TH ST SIOUX FALLS, SD 57105 (605) 575-1616 |
| 1235103086 | SUZANNAH H SPENCER M.D. Individual | Family Medicine | 1115 E 20TH ST SIOUX FALLS, SD 57105 (605) 575-1616 |
| 1578537338 | FREDRIC H THANEL M.D. Individual | Family Medicine | 1115 E 20TH ST SIOUX FALLS, SD 57105 (605) 575-1616 |
| 1376511014 | WESLEY J NORD M.D. Individual | Family Medicine | 1115 E 20TH ST SIOUX FALLS, SD 57105 (605) 339-1783 |
| 1326007469 | DR. MARK KENNETH HUNTINGTON SR. MD, PHD Individual | Family Medicine | 1115 E 20TH ST SIOUX FALLS, SD 57105 (605) 339-1783 |
| 1689785529 | DR. TARA W GEIS MD Individual | Family Medicine | 1115 E 20TH ST SIOUX FALLS, SD 57105 (605) 339-1783 |
| 1972686467 | JEAN ANN HEISLER M.D. Individual | Family Medicine | 1115 E 20TH ST SIOUX FALLS, SD 57105 (605) 339-1783 |
| 1184811739 | ROGER A SHEWMAKE PHD Individual | Dietary Manager | 1115 E 20TH ST SIOUX FALLS, SD 57105 (605) 339-1783 |
| 1275859167 | KARA H NEDICH DO Individual | Student in an Organized Health Care Education/Training Program | 1115 E 20TH ST SIOUX FALLS, SD 57105 (605) 575-1616 |
| 1831415694 | SUSAN M ANDERSEN MD Individual | Student in an Organized Health Care Education/Training Program | 1115 E 20TH ST SIOUX FALLS, SD 57105 (605) 575-1616 |
| 1992019228 | DR. TASHA RAUSCH Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 1115 E 20TH ST SIOUX FALLS, SD 57105 (605) 575-1691 |
| 1811915093 | DR. AMY LEIGH HOGUE M.D. Individual | Family Medicine | 1115 E 20TH ST SIOUX FALLS, SD 57105 (605) 339-1783 |
| 1932183753 | LEE MAITLAND MABEE JR. MD Individual | Obstetrics & Gynecology | 1115 E 20TH ST SIOUX FALLS, SD 57105 (605) 399-1783 |
| 1235195041 | JAY R ALLISON MD Individual | Family Medicine | 1115 E 20TH ST SIOUX FALLS, SD 57105 (605) 339-1783 |
| 1972865400 | CHRISTOPHER D WONG MD Individual | Family Medicine | 1115 E 20TH ST SIOUX FALLS, SD 57105 (605) 339-1783 |
| 1801244405 | DR. JOSHUA MICHAEL DOORN M.D. Individual | Family Medicine | 1115 E 20TH ST SIOUX FALLS, SD 57105 (605) 339-1783 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215673504, enumerated in the NPI registry as an "individual" on May 09, 2022
The provider is located at 1115 E 20th St Sioux Falls, Sd 57105 and the phone number is (605) 333-1000
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on May 09, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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