BLACK HILLS DERMATOLOGY AND LASER SURGERY CENTRE
NPI 1497727028
Dermatology in Rapid City, SD
NPI Status: Active since February 07, 2006
Contact Information
7236 JORDAN DRIVE SUITE 101
RAPID CITY, SD
ZIP 57702
Phone: (605) 341-5565
Fax: (605) 341-5595
- Organization
- Dermatology
- Accepts Insurance
- CLIA Number: 43D0993471
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-24-2026
About BLACK HILLS DERMATOLOGY AND LASER SURGERY CENTRE
This page provides the complete NPI Profile along with additional information for Black Hills Dermatology And Laser Surgery Centre, a provider established in Rapid City, South Dakota operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1497727028 assigned on February 2006. The practitioner's primary taxonomy code is 207N00000X with license number 0370 (SD). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Black Hills Dermatology And Laser Surgery Centre. The authorized official of this NPI record is Mr. Jason W Gorman (Administrator)
- NPI
- 1497727028
- Provider Legal Name
- BLACK HILLS DERMATOLOGY PC
- Other Organization Name
- BLACK HILLS DERMATOLOGY AND LASER SURGERY CENTRE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 7236 JORDAN DRIVE SUITE 101 RAPID CITY, SD 57702
- Location Phone
- (605) 341-5565
- Location Fax
- (605) 341-5595
- Mailing Address
- 7236 JORDAN DRIVE SUITE 101 PO BOX 6540 RAPID CITY, SD 57709
- Mailing Phone
- (605) 341-5565
- Mailing Fax
- (605) 341-5595
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-07-2006
- Last Update Date
- 05-20-2008
- Code Navigator
A dermatologist like Black Hills Dermatology And Laser Surgery Centre is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0370
- License State
- SD
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207ND0101X | Allopathic & Osteopathic Physicians | Dermatology | 0370 (SD) |
| 2 | 207ND0900X | Allopathic & Osteopathic Physicians | Dermatology | 0370 (SD) |
| 3 | 207NP0225X | Allopathic & Osteopathic Physicians | Dermatology | 0370 (SD) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- ConnectPlus $0 Gold - PPO
- ConnectPlus $0 Silver - PPO
- ConnectPlus $10,600 HSA Eligible HDHP - PPO
- ConnectPlus $1800 - PPO
- ConnectPlus $4500 - PPO
- ConnectPlus $6500 HSA Eligible HDHP - PPO
- ConnectPlus $7500 HSA Eligible HDHP - PPO
- ConnectPlus MyWeighForward $2000 - PPO
- ConnectPlus MyWeighForward $6000 - PPO
- ConnectPlus Standard $2000 - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $10,600 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,500 - PPO
- Sanford Individual Simplicity $7,200 HSA Qualified - PPO
- Sanford Individual Simplicity Standardized $2,000 - PPO
- Sanford Individual Simplicity Standardized $6,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0040885 | OTHER (01) | SD | WELLMARK BCBS NUMBER |
| ========= | OTHER (01) | SD | TRICARE ID NUMBER |
| 40885 | MEDICARE ID-TYPE UNSPECIFIED (04) | SD | SD MEDICARE NUMBER |
| 9486 | MEDICARE ID-TYPE UNSPECIFIED (04) | WY | WYOMING MEDICARE |
| DB4102 | MEDICARE ID-TYPE UNSPECIFIED (04) | SC | RAILROAD MEDICARE NUMBER |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 43D0993471
- Facility Type
- Physician Office
- Certificate Effective Date
- September 25, 2024
- Certificate Expiration Date
- September 24, 2026
- Laboratory Director
- VASSILIA D. YOUNG
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Black Hills Dermatology And Laser Surgery Centre after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1497727028, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497727028, enumerated as an "organization" on February 07, 2006.
The provider is located at 7236 JORDAN DRIVE SUITE 101 RAPID CITY, SD 57702 and the phone number is (605) 341-5565.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: Avera Health Plans, Medica, Sanford Health Plan,. Please consult your insurance carrier or call the provider to verify.
