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PLASTIC SURGICAL CENTER OF RAPID CITY, PROF. L.L.C.
NPI 1760465207
Clinic/Center - Ambulatory Surgical in Rapid City, SD

Active since November 29, 2005CLIA 43D1045358 · Waiver
3615 5TH ST, SUITE 100, RAPID CITY, SD 57701(605) 343-6714(605) 343-2130 Get Directions Write a Review

NPPES record last updated: April 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Plastic Surgical Center Of Rapid City, Prof. L.l.c. NPPES

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

PLASTIC SURGICAL CENTER OF RAPID CITY, PROF. L.L.C. (NPI 1760465207) is a healthcare organization registered as an ambulatory surgical in Rapid City, South Dakota and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through September 12, 2027 and lists Robert James Schutz, Md/medical Director, as its authorized official.

NPPES Registry Identity

NPI1760465207
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePLASTIC SURGICAL CENTER OF RAPID CITY, PROF. L.L.C.
Location Address3615 5TH ST, SUITE 100Rapid City, SD 57701-6014
Mailing Address3615 5th St, Suite 100Rapid City, SD 57701-6014 · (605) 343-6714 · Fax (605) 343-2130
Phone(605) 343-6714
Fax(605) 343-2130
Organization SubpartNo
Authorized OfficialRobert James SchutzMd/medical Director · (605) 343-6714
Enumeration DateNovember 29, 2005
Last NPPES UpdateApril 30, 2013
✔ NPI 1760465207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in SD · 11152
3615 5TH ST, Rapid City, SD 57701
Open in Google Maps ↗

Other Identifiers 1

Other81014SD · Wellmark Bcbs #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Oscar Insurance Company and more.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 43D1045358

Plastic Surgical Center · Rapid City, SD
Active · expires Sep 12, 2027
CLIA Number43D1045358
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorStephanie Wilson
Laboratory Phone(605) 343-6714
Laboratory LocationPlastic Surgical Center3615 5th Street Suite 100, Rapid City, SD 57701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
84 services36 patients
Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones 64628
This procedure involves the use of heat to disable the basivertebral nerve within the first two bones of your lower spine. It's done to alleviate chronic lower back pain. It's a safe, minimally invasive procedure with a quick recovery time.
19 services16 patients
Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin 0275T
This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.
18 services18 patients
Insertion or replacement of spinal neurostimulator generator or receiver 63685
The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.
16 services16 patients

Other Providers at the Same Location NPPES 9

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

JENNIFER FAITH KNOWLES CNP
Nurse Practitioner (Family)
3615 5TH ST, SUITE 107
RAPID CITY, SD 57701
Meade County (605) 342-3280
PHARMACY CORPORATION OF AMERICA
Pharmacy (Long Term Care Pharmacy)
3615 5TH ST, SUITE 109
RAPID CITY, SD 57701
Meade County (605) 342-8132
MS. MARY L FREIDEL CSTCFA
3615 5TH ST, SUITE 101
RAPID CITY, SD 57701
Meade County (605) 343-7208
JODY CADOTTE
Nurse Practitioner
3615 5TH ST, SUITE, 101
RAPID CITY, SD 57701
Meade County (605) 343-7208
DR. ROBERT JAMES SCHUTZ
Surgery (Plastic and Reconstructive Surgery)
3615 5TH ST, SUITE 101
RAPID CITY, SD 57701
Meade County (605) 343-7208
DR. KATIE MIRES PHARMD
Pharmacist
3615 5TH ST, STE 109
RAPID CITY, SD 57701
Meade County (605) 348-0815
MARY SNYDER
Surgery (Plastic and Reconstructive Surgery)
3615 5TH ST, SUITE 101
RAPID CITY, SD 57701
Meade County (605) 343-7208
J R ANESTHESIA PROF LLC
Nurse Anesthetist, Certified Registered
3615 5TH ST, 100
RAPID CITY, SD 57701
Meade County (605) 343-6714

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 Plastic Surgical Center Of Rapid City, Prof. L.L.C.'s NPI number?

The NPI number for Plastic Surgical Center Of Rapid City, Prof. L.L.C. is 1760465207. It was assigned to this organization in the NPPES registry on November 29, 2005.

Where is Plastic Surgical Center Of Rapid City, Prof. L.L.C. located?

Plastic Surgical Center Of Rapid City, Prof. L.L.C. is located at 3615 5th St Suite 100, Rapid City, SD 57701. The listed phone number is (605) 343-6714.

What is Plastic Surgical Center Of Rapid City, Prof. L.L.C.'s specialty?

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

Does Plastic Surgical Center Of Rapid City, Prof. L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 43D1045358) is associated with this NPI, valid through September 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Plastic Surgical Center Of Rapid City, Prof. L.L.C. accept?

Health plans from Avera Health Plans, Medica, Oscar Insurance Company and Sanford Health Plan list Plastic Surgical Center Of Rapid City, Prof. L.L.C. 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 Plastic Surgical Center Of Rapid City, Prof. L.L.C. was last updated on April 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.