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LAKESIDE PAIN CENTER PROF. LLC
NPI 1295478907
Clinic/Center - Pain in Watertown, SD

Active since April 20, 2022CLIA 43D1039478 · Waiver
1512 4TH ST NE, WATERTOWN, SD 57201(605) 884-0100 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Pain Center Prof. Llc NPPES

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

LAKESIDE PAIN CENTER PROF. LLC (NPI 1295478907) is a healthcare organization registered as a pain in Watertown, South Dakota and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through April 13, 2027 and lists Austin J Beck, Physician, as its authorized official.

NPPES Registry Identity

NPI1295478907
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameLAKESIDE PAIN CENTER PROF. LLC
Location Address1512 4TH ST NEWatertown, SD 57201-6824
Mailing Address1512 4th St NeWatertown, SD 57201-6824 · (605) 884-0100
Phone(605) 884-0100
Organization SubpartNo
Authorized OfficialAustin J BeckPhysician · (605) 884-0100
Enumeration DateApril 20, 2022
NPPES CertifiedApril 20, 2022
✔ NPI 1295478907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
1512 4TH ST NE, Watertown, SD 57201
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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 43D1039478

Lakeside Pain Center Prof, LLC · Watertown, SD
Active · expires Apr 13, 2027
CLIA Number43D1039478
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2025
Certificate Expiration DateApril 13, 2027
Laboratory DirectorAustin Beck
Laboratory Phone(605) 884-0100
Laboratory LocationLakeside Pain Center Prof, LLC1512 4th Street NE, Watertown, SD 57201
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 7

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

INNOVATIVE PAIN CENTER LLC
Pain Medicine (Interventional Pain Medicine)
1512 4TH ST NE
WATERTOWN, SD 57201
Codington County (605) 884-0100
ALLISON THERESA TRACY FNP-C
Nurse Practitioner (Family)
1512 4TH ST NE
WATERTOWN, SD 57201
Codington County (605) 884-0100
INNOVATIVE PROCEDURAL CENTER LLC
Clinic/Center (Ambulatory Surgical)
1512 4TH ST NE
WATERTOWN, SD 57201
Codington County (605) 884-0100
PATRICK L RETTERATH MD
Anesthesiology (Pain Medicine)
1512 4TH ST NE
WATERTOWN, SD 57201
Codington County (605) 884-0100
AUSTIN J BECK D.O.
Pain Medicine (Interventional Pain Medicine)
1512 4TH ST NE
WATERTOWN, SD 57201
Codington County (605) 884-0100
REMEDY ANESTHESIA SERVICES, PLLC
Nurse Anesthetist, Certified Registered
1512 4TH ST NE
WATERTOWN, SD 57201
Codington County (605) 884-0100
GLACIAL LAKES ANESTHESIA, PLLC
Nurse Anesthetist, Certified Registered
1512 4TH ST NE
WATERTOWN, SD 57201
Codington County (605) 884-0100

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 Lakeside Pain Center Prof. LLC's NPI number?

The NPI number for Lakeside Pain Center Prof. LLC is 1295478907. It was assigned to this organization in the NPPES registry on April 20, 2022.

Where is Lakeside Pain Center Prof. LLC located?

Lakeside Pain Center Prof. LLC is located at 1512 4th St NE, Watertown, SD 57201. The listed phone number is (605) 884-0100.

What is Lakeside Pain Center Prof. LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Does Lakeside Pain Center Prof. LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D1039478) is associated with this NPI, valid through April 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeside Pain Center Prof. LLC accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Lakeside Pain Center Prof. 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 Lakeside Pain Center Prof. LLC was last updated on April 20, 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.