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BLACK HILLS PEDIATRIC DENTISTRY SURGERY CENTER
NPI 1013968718
Clinic/Center - Ambulatory Surgical in Rapid City, SD

Active since May 15, 2006
620 SHERIDAN LAKE RD, SUITE 104, RAPID CITY, SD 57702(605) 341-1314(605) 341-5757 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Black Hills Pediatric Dentistry Surgery Center NPPES

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

BLACK HILLS PEDIATRIC DENTISTRY SURGERY CENTER (NPI 1013968718) is a healthcare organization registered as an ambulatory surgical in Rapid City, South Dakota and active in the NPI registry since May 2006. The organization lists Kelli J Jobman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013968718
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameRUSHMORE AMBULATORY SURGERY CENTER
Location Address620 SHERIDAN LAKE RD, SUITE 104Rapid City, SD 57702-2406
Mailing Address620 Sheridan Lake Rd Ste 101Rapid City, SD 57702-2490 · (605) 718-9224 · Fax (605) 718-9225
Phone(605) 341-1314
Fax(605) 341-5757
Organization SubpartNo
Authorized OfficialKelli J JobmanCeo · (605) 718-9224
Enumeration DateMay 15, 2006
Last NPPES UpdateAugust 9, 2022
NPPES CertifiedAugust 9, 2022
✔ NPI 1013968718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
620 SHERIDAN LAKE RD, Rapid City, SD 57702
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Other Names 1

Doing Business AsBlack Hills Pediatric Dentistry Surgery Center

Other Identifiers 2

Medicaid5490450SD
Other81022SD · Wellmark Blue Cross Blue Shield Of South Dakota

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 Rushmore Ambulatory Surgery Center's NPI number?

The NPI number for Rushmore Ambulatory Surgery Center is 1013968718. It was assigned to this organization in the NPPES registry on May 15, 2006. The provider is doing business as Black Hills Pediatric Dentistry Surgery Center.

Where is Rushmore Ambulatory Surgery Center located?

Rushmore Ambulatory Surgery Center is located at 620 Sheridan Lake Rd Suite 104, Rapid City, SD 57702. The listed phone number is (605) 341-1314.

What is Rushmore Ambulatory Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Rushmore Ambulatory Surgery Center was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.