DAKOTA PRIMARY CARE
NPI 1750712485
Family Medicine in Rapid City, SD

NPI Status: Active since December 05, 2013

Contact Information

4447 S CANYON RD
SUITE 6
RAPID CITY, SD
ZIP 57702
Phone: (605) 721-6426
Fax: (605) 721-5515

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 43D2070409
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-15-2025

About DAKOTA PRIMARY CARE

This page provides the complete NPI Profile along with additional information for Dakota Primary Care, a primary care provider established in Rapid City, South Dakota operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1750712485 assigned on December 2013. The practitioner's primary taxonomy code is 207Q00000X with license number 4447 (SD). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Dakota Primary Care. The authorized official of this NPI record is Sherri Koch Md (President)

NPI
1750712485
Provider Legal Name
KOCH MEDICINE LLC
Other Organization Name
DAKOTA PRIMARY CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4447 S CANYON RD SUITE 6 RAPID CITY, SD 57702
Location Phone
(605) 721-6426
Location Fax
(605) 721-5515
Mailing Address
PO BOX 346 RAPID CITY, SD 57709
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-05-2013
Last Update Date
12-02-2015
Code Navigator

A primary care provider (PCP) like Dakota Primary Care 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
4447
License State
SD
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,000 - PPO
  • Sanford Individual Simplicity $7,100 HSA Qualified - PPO
  • Sanford Individual Simplicity $9,200 - PPO
  • Sanford Individual Simplicity Standardized $1,500 - PPO
  • Sanford Individual Simplicity Standardized $5,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHERRI KOCH MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(605) 791-3974

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
43D2070409
Facility Type
Physician Office
Certificate Effective Date
December 16, 2023
Certificate Expiration Date
December 15, 2025
Laboratory Director
SHERRI KOCH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dakota Primary Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for DAKOTA PRIMARY CARE

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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.
1750712485
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001414416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 4 + 1 + 4 + 4 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1750712485 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558486647 WENDY ANN MULLINS
Individual
Psychologist (Clinical)4447 S CANYON RD SUITE # 5
RAPID CITY, SD 57702
(605) 412-4443
1518904515 SHERRI DANELLE KOCH MD
Individual
Family Medicine4447 S CANYON RD SUITE 6
RAPID CITY, SD 57702
(605) 721-6426
1275017386 LINDSEY MARIE HANSEN FNP
Individual
Nurse Practitioner (Family)4447 S CANYON RD
RAPID CITY, SD 57702
(605) 721-6426
1366510141MR. DUANE J KAVANAUGH LPCMH, NCC, CCMHC
Individual
Counselor (Mental Health)4447 S CANYON RD
RAPID CITY, SD 57702
(605) 939-6700
1407645971HOPE AND HEALING
Organization
Social Worker (Clinical)4447 S CANYON RD
RAPID CITY, SD 57702
(605) 484-8424

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750712485, enumerated in the NPI registry as an "organization" on December 05, 2013

The provider is located at 4447 S Canyon Rd Suite 6 Rapid City, Sd 57702 and the phone number is (605) 721-6426

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 43D2070409 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 05, 2013. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.