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RIVERS EDGE AESTHETIC SURGERY, LLC
NPI 1285936641
Clinic/Center - Ambulatory Surgical in Sioux Falls, SD

Active since November 17, 2010CLIA 43D2084690 · Waiver
4201 SOUTH MINNESOTA AVENUE, STE. 111, SIOUX FALLS, SD 57105(605) 335-3349(605) 336-8436 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rivers Edge Aesthetic Surgery, Llc NPPES

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

RIVERS EDGE AESTHETIC SURGERY, LLC (NPI 1285936641) is a healthcare organization registered as an ambulatory surgical in Sioux Falls, South Dakota and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through September 28, 2026 and lists Marvin E Smoot, Director, as its authorized official.

NPPES Registry Identity

NPI1285936641
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameRIVERS EDGE AESTHETIC SURGERY, LLC
Location Address4201 SOUTH MINNESOTA AVENUE, STE. 111Sioux Falls, SD 57105-6742
Mailing Address4201 South Minnesota Avenue, Ste. 111Sioux Falls, SD 57105-6742 · (605) 335-3349 · Fax (605) 336-8436
Phone(605) 335-3349
Fax(605) 336-8436
Organization SubpartNo
Authorized OfficialMarvin E SmootDirector · (605) 335-3349
Enumeration DateNovember 17, 2010
Last NPPES UpdateJanuary 30, 2020
✔ NPI 1285936641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4201 SOUTH MINNESOTA AVENUE, Sioux Falls, SD 57105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Sanford Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 43D2084690

Rivers Edge Aesthetic Surgery · Sioux Falls, SD
Active · expires Sep 28, 2026
CLIA Number43D2084690
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 29, 2024
Certificate Expiration DateSeptember 28, 2026
Laboratory DirectorJames Breit
Laboratory Phone(605) 335-3349
Laboratory LocationRivers Edge Aesthetic Surgery4201 S Minnesota Avenue #111, Sioux Falls, SD 57105
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

LEE PATRICK MILLER MD
Surgery (Plastic and Reconstructive Surgery)
4201 SOUTH MINNESOTA AVENUE, STE 112
SIOUX FALLS, SD 57105
Minnehaha County (605) 335-3349
PLASTIC SURGERY ASSOCIATES OF SOUTH DAKOTA, LTD
Plastic Surgery
4201 SOUTH MINNESOTA AVENUE, STE. 112
SIOUX FALLS, SD 57105
Minnehaha County (605) 335-3349
JAMES ANTHONY BREIT MD
Surgery (Plastic and Reconstructive Surgery)
4201 SOUTH MINNESOTA AVENUE, STE 112
SIOUX FALLS, SD 57105
Minnehaha County (605) 335-3349

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 Rivers Edge Aesthetic Surgery, LLC's NPI number?

The NPI number for Rivers Edge Aesthetic Surgery, LLC is 1285936641. It was assigned to this organization in the NPPES registry on November 17, 2010.

Where is Rivers Edge Aesthetic Surgery, LLC located?

Rivers Edge Aesthetic Surgery, LLC is located at 4201 South Minnesota Avenue Ste. 111, Sioux Falls, SD 57105. The listed phone number is (605) 335-3349.

What is Rivers Edge Aesthetic Surgery, LLC's specialty?

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

Does Rivers Edge Aesthetic Surgery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D2084690) is associated with this NPI, valid through September 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rivers Edge Aesthetic Surgery, LLC accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Rivers Edge Aesthetic Surgery, LLC 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 Rivers Edge Aesthetic Surgery, LLC was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.