BLACK HILLS DERMATOLOGY AND LASER SURGERY CENTRE
NPI 1497727028
Dermatology in Rapid City, SD

Q: What is Black Hills Dermatology PC's NPI number?

The NPI number for Black Hills Dermatology PC is 1497727028. It was assigned to this organization in the NPPES registry on February 7, 2006. The provider is doing business as Black Hills Dermatology And Laser Surgery Centre.

Q: What is Black Hills Dermatology PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since February 07, 2006CLIA Certified · 2 labs

7236 JORDAN DRIVE SUITE 101, RAPID CITY, SD 57702(605) 341-5565(605) 341-5595 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Black Hills Dermatology And Laser Surgery Centre NPPES

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

BLACK HILLS DERMATOLOGY AND LASER SURGERY CENTRE (NPI 1497727028) is a healthcare organization registered as a dermatology in Rapid City, South Dakota and active in the NPI registry since February 2006. The organization holds 2 active CLIA laboratory certificates and lists Jason W Gorman, Administrator, as its authorized official.

NPPES Registry Identity

NPI1497727028

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameBLACK HILLS DERMATOLOGY PC

Location Address7236 JORDAN DRIVE SUITE 101Rapid City, SD 57702-8740

Mailing Address7236 Jordan Drive Suite 101, Po Box 6540Rapid City, SD 57709-6540 · (605) 341-5565 · Fax (605) 341-5595

Phone(605) 341-5565

Fax(605) 341-5595

Organization SubpartNo

Authorized OfficialJason W GormanAdministrator · (605) 341-5565

Enumeration DateFebruary 7, 2006

Last NPPES UpdateMay 20, 2008

✔ NPI 1497727028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in SD · 0370

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 0370 (SD)

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 0370 (SD)

Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License 0370 (SD)

7236 JORDAN DRIVE SUITE 101, Rapid City, SD 57702

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Other Names 1

Doing Business AsBlack Hills Dermatology And Laser Surgery Centre

Other Identifiers 4

Other0040885SD · Wellmark Bcbs Number

Medicare ID-Type Unspecified40885SD · Sd Medicare Number

Medicare ID-Type Unspecified9486WY · Wyoming Medicare

Medicare ID-Type UnspecifiedDB4102SC · Railroad Medicare Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 2

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 Compliance 43D0993471

Black Hills Dermatology Centre · Rapid City, SD

Active · expires Sep 24, 2026

CLIA Number43D0993471

Laboratory TypePhysician Office

Certificate Effective DateSeptember 25, 2024

Certificate Expiration DateSeptember 24, 2026

Laboratory DirectorVassilia D. Young

Laboratory Phone(605) 341-5565

Laboratory LocationBlack Hills Dermatology Centre7236 Jordan Drive Suite 101, Rapid City, SD 57702

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 43D2089513

Black Hills Dermatology PC · Spearfish, SD

Active · expires May 26, 2027

CLIA Number43D2089513

Laboratory TypePhysician Office

Certificate Effective DateMay 27, 2025

Certificate Expiration DateMay 26, 2027

Laboratory DirectorVassilia D. Young

Laboratory Phone(605) 341-5565

Laboratory LocationBlack Hills Dermatology PC132 East Grant, Spearfish, SD 57783

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Black Hills Dermatology PC's NPI number?

The NPI number for Black Hills Dermatology PC is 1497727028. It was assigned to this organization in the NPPES registry on February 7, 2006. The provider is doing business as Black Hills Dermatology And Laser Surgery Centre.

Where is Black Hills Dermatology PC located?

Black Hills Dermatology PC is located at 7236 Jordan Drive Suite 101, Rapid City, SD 57702. The listed phone number is (605) 341-5565.

What is Black Hills Dermatology PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Black Hills Dermatology PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Black Hills Dermatology PC accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan list Black Hills Dermatology PC 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 Black Hills Dermatology PC was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.