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MR. ROBERT VANDEVENTER PA-C
NPI 1023005626
Physician Assistant in Rapid City, SD

Active since September 29, 2005
408 KNOLLWOOD DRIVE, RAPID CITY, SD 57701(605) 755-2273 Get Directions Write a Review

NPPES record last updated: September 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Robert Vandeventer Pa-c NPPES

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

MR. ROBERT VANDEVENTER PA-C (NPI 1023005626) is an individual physician assistant in Rapid City, South Dakota, licensed in South Dakota (0303) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1023005626
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ROBERT VANDEVENTERCredential: PA-C
Location Address408 KNOLLWOOD DRIVERapid City, SD 57701
Mailing Address353 Fairmont Blvd, Atten Christie MssRapid City, SD 57701-7350 · (605) 755-2273
Phone(605) 755-2273
Sole ProprietorNo
Enumeration DateSeptember 29, 2005
Last NPPES UpdateSeptember 5, 2013
✔ NPI 1023005626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SD · 0303
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
408 KNOLLWOOD DRIVE, Rapid City, SD 57701
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Other Identifiers 2

Medicare PINS5470SD
Medicare UPINS48456

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 Robert Vandeventer's NPI number?

The NPI number for Robert Vandeventer is 1023005626. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Where is Robert Vandeventer located?

Robert Vandeventer practices at 408 Knollwood Drive, Rapid City, SD 57701. The listed phone number is (605) 755-2273.

What is Robert Vandeventer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Robert Vandeventer was last updated on September 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.