SPEARFISH CLINIC
NPI 1689831091
Dermatology in Spearfish, SD

Active since May 22, 2008
132 E GRANT ST, SPEARFISH, SD 57783(605) 722-9090(605) 722-9909 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Spearfish Clinic NPPES

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

SPEARFISH CLINIC (NPI 1689831091) is a healthcare organization registered as a dermatology in Spearfish, South Dakota and active in the NPI registry since May 2008. The organization lists Jason W Gorman, Administrator, as its authorized official.

NPPES Registry Identity

NPI1689831091
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBLACK HILLS DERMATOLOGY PC
Location Address132 E GRANT STSpearfish, SD 57783-2424
Mailing AddressPo Box 6540, 7236 Jordan Drive Ste 101Rapid City, SD 57709-6540 · (605) 341-5565 · Fax (605) 341-5595
Fax(605) 722-9909
Organization SubpartNo
Authorized OfficialJason W GormanAdministrator · (605) 341-5565
Enumeration DateMay 22, 2008
Last NPPES UpdateJanuary 30, 2015
✔ NPI 1689831091 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)
132 E GRANT ST, Spearfish, SD 57783

Other Names 1

Other NameSpearfish Clinic

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Spearfish Clinic, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1154703817
4447 S CANYON RD STE 6
Rapid City, SD 57702
(605) 721-5550
✔ PECOS✔ Accepts Medicare39 mi
Nurse Practitioner
NPI 1760040190
2930 CAMBELL ST STE 4 OFFICE A
Rapid City, SD 57701
(605) 381-1871
✔ PECOS✔ Accepts Medicare44 mi
Nurse Practitioner
NPI 1700858263
7236 JORDAN DR STE 101
Rapid City, SD 57702
(605) 341-5565
✔ PECOS✔ Accepts Medicare45 mi
Dermatology
NPI 1750353389
7236 JORDAN DR STE 101
Rapid City, SD 57702
(605) 341-5565
✔ PECOS✔ Accepts Medicare45 mi

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

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 1689831091. It was assigned to this organization in the NPPES registry on May 22, 2008. The provider is also known as Spearfish Clinic.

Where is Black Hills Dermatology PC located?

Black Hills Dermatology PC is located at 132 E Grant St, Spearfish, SD 57783. The listed phone number is (605) 722-9090.

What is Black Hills Dermatology PC's specialty?

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

Is Black Hills Dermatology PC enrolled in Medicare?

Yes. Black Hills Dermatology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Black Hills Dermatology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Black Hills Dermatology PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3) and Dermatology (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Black Hills Dermatology PC was last updated on January 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.