WEST RIVER DERMATOLOGY, PC
NPI 1013010974
Dermatology - MOHS-Micrographic Surgery in Rapid City, SD

Active since September 06, 2006
717 MEADE ST, SUITE 100, RAPID CITY, SD 57701(605) 341-5910(605) 341-9052 Get Directions Write a Review

NPPES record last updated: March 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About West River Dermatology, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST RIVER DERMATOLOGY, PC (NPI 1013010974) is a healthcare organization registered as a mohs-micrographic surgery in Rapid City, South Dakota and active in the NPI registry since September 2006. The organization lists Roger S Knutsen, President, as its authorized official.

NPPES Registry Identity

NPI1013010974
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameWEST RIVER DERMATOLOGY, PC
Location Address717 MEADE ST, SUITE 100Rapid City, SD 57701-5100
Mailing Address717 Meade St, Suite 100Rapid City, SD 57701-5100 · (605) 341-5910 · Fax (605) 341-9052
Fax(605) 341-9052
Organization SubpartNo
Authorized OfficialRoger S KnutsenPresident · (605) 341-5910
Enumeration DateSeptember 6, 2006
Last NPPES UpdateMarch 11, 2008
NPI 1013010974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in SD · 0266
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
717 MEADE ST, Rapid City, SD 57701

Other Identifiers 3

Other0003099SD · Blue Cross Blue Shield
Medicare PINS3099SD
Medicare PINCG4431SD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
717 MEADE ST, SUITE 100
RAPID CITY, SD 57701
Dentist
717 MEADE ST, STE 200
RAPID CITY, SD 57701
Dentist
717 MEADE ST, STE. 400
RAPID CITY, SD 57701
Dentist (General Practice)
717 MEADE ST, STE. 400
RAPID CITY, SD 57701
Dermatology
717 MEADE ST, SUITE 100
RAPID CITY, SD 57701
Dermatology
717 MEADE ST, SUITE 100
RAPID CITY, SD 57701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West River Dermatology, PC's NPI number?

The NPI number for West River Dermatology, PC is 1013010974. It was assigned to this organization in the NPPES registry on September 6, 2006.

Where is West River Dermatology, PC located?

West River Dermatology, PC is located at 717 Meade St Suite 100, Rapid City, SD 57701. The listed phone number is (605) 341-5910.

What is West River Dermatology, PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for West River Dermatology, PC was last updated on March 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.