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BUNPENG VONGKAENCHAN NP
NPI 1760912208
Nurse Practitioner - Family in Sioux Falls, SD

Active since June 18, 2017
5009 S LOUISE AVE, SIOUX FALLS, SD 57108(605) 799-1273 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2020, Oct 15, 2019, Jun 4, 2019 and 3 more (6 updates tracked since 2017).

About Bunpeng Vongkaenchan Np NPPES

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

BUNPENG VONGKAENCHAN NP (NPI 1760912208) is an individual family provider in Sioux Falls, South Dakota, licensed in South Dakota (CP001197) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1760912208
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBUNPENG VONGKAENCHANCredential: NP
Location Address5009 S LOUISE AVESioux Falls, SD 57108
Mailing Address5009 S Louise AveSioux Falls, SD 57108-2268 · (605) 610-8522
Phone(605) 799-1273
Sole ProprietorNo
Enumeration DateJune 18, 2017
Last NPPES UpdateMay 5, 20206 updates tracked since enumeration
NPPES CertifiedMay 5, 2020
✔ NPI 1760912208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in SD · CP001197✔ Licensed in SD · R040266
5009 S LOUISE AVE, Sioux Falls, SD 57108
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Other Providers at the Same Location NPPES 2

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

ALONDRA JANET VALDOVINOS KIDD
Nurse Practitioner (Family)
5009 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 799-1272
ELLY JOHNSON CNP
Nurse Practitioner (Family)
5009 S LOUISE AVE
SIOUX FALLS, SD 57108
Lincoln County (605) 799-1272

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 Bunpeng Vongkaenchan's NPI number?

The NPI number for Bunpeng Vongkaenchan is 1760912208. It was assigned to this individual provider in the NPPES registry on June 18, 2017.

Where is Bunpeng Vongkaenchan located?

Bunpeng Vongkaenchan practices at 5009 S Louise Ave, Sioux Falls, SD 57108. The listed phone number is (605) 799-1273.

What is Bunpeng Vongkaenchan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bunpeng Vongkaenchan was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.