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DOMINIQUE YELLOWHAIR
NPI 1083577746
Dentist in Rapid City, SD

Active since December 08, 2025PECOS Enrolled
3200 CANYON LAKE DR, RAPID CITY, SD 57702(605) 355-2260 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dominique Yellowhair NPPES

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

DOMINIQUE YELLOWHAIR (NPI 1083577746) is an individual dentist in Rapid City, South Dakota, licensed in South Dakota (D1507) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of At Still University, Arizona School Of Dentistry & Oral Hlth (2025).

NPPES Registry Identity

NPI1083577746
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDOMINIQUE YELLOWHAIR
Location Address3200 CANYON LAKE DRRapid City, SD 57702-8114
Mailing AddressHc 63 Box 253Winslow, AZ 86047-9417
Phone(605) 355-2260
Sole ProprietorNo
Medical School CMSAt Still University, Arizona School Of Dentistry & Oral HlthGraduated 2025
Enumeration DateDecember 8, 2025
NPPES CertifiedDecember 8, 2025
✔ NPI 1083577746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SD · D1507
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3200 CANYON LAKE DR, Rapid City, SD 57702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Yellowhair is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880160449
PECOS Enrollment IDI20260421000633
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Dominique Yellowhair reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Great Plains Tribal Chairmen's Health Board
Same address
Pharmacy
3200 CANYON LAKE DR
Rapid City, SD 57702
  • Reassigned Medicare billing, Texas enrollment
  • 119 clinicians in this Medicare group
NPI 1376105452 (605) 721-1922

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ABBYGAIL BINGHAM MLT
Technician, Pathology
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2229
JOLENE PETERSON MSW LCSW PIP
Social Worker (Clinical)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2215
MS. DONNA MARIE HUBER RN
Registered Nurse
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2298
MICHELLE GIBALDI
Technician, Pathology (Medical Laboratory)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2228
KATHY HOGG
Registered Nurse (Case Management)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2500
OGLALA SIOUX TRIBE
Non-emergency Medical Transport (VAN)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 343-7832
FRANCES MARIE GRAY RN
Registered Nurse
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2500
MRS. JEANETTE KAY OFSTAD MT(ASCP)
Specialist/Technologist, Pathology (Medical Technologist)
3200 CANYON LAKE DR
RAPID CITY, SD 57702
Pennington County (605) 355-2228

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 Dominique Yellowhair's NPI number?

The NPI number for Dominique Yellowhair is 1083577746. It was assigned to this individual provider in the NPPES registry on December 8, 2025.

Where is Dominique Yellowhair located?

Dominique Yellowhair practices at 3200 Canyon Lake Dr, Rapid City, SD 57702. The listed phone number is (605) 355-2260.

What is Dominique Yellowhair's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Dominique Yellowhair enrolled in Medicare?

Yes. Dominique Yellowhair is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dominique Yellowhair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Yellowhair reassigns Medicare benefits to Great Plains Tribal Chairmen's Health Board (Rapid City, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dominique Yellowhair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dominique Yellowhair accept?

Health plans from Wellmark of South Dakota, Inc. list Dominique Yellowhair as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dominique Yellowhair was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.