DR. KEVIN L. PRESTON (NPI# 1396717229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396717229 |
| Entity Type | Individual |
| Full Name | DR. KEVIN L. PRESTON |
| Credential | D.O. |
| Practice Address |
101 Tower Road Suite 100 Dakota Dunes SD 57049 |
| Practice Telephone | 6052174310 |
| Practice Fax Number | 6052172915 |
| Mailing Telephone | 6052174310 |
| Mailing Fax Number | 6052172915 |
| Enumeration Date | 2006-02-04 |
| Last Update Date | 2011-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
3502 | SD | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
02660 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 42140591500 | 05 | |
| IA | BLUE CROSS BLUE SHIELD | 12129 | 01 |
| SD | BLUE CROSS BLUE SHIELD | 0004023 | 01 |
| IA | 1074542 | 05 | |
| SD | 7797132 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437313202 | Kevin Scott Preston | Radiology | 490 Dunlop Ln, Clarksville, TN 37040-5007 | 2008-07-10 |
| 1285626333 | Kevin G Preston | Nurse Anesthetist, Certified Registered | 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433-5850 | 2005-08-16 |
| Street Address |
101 TOWER ROAD SUITE 100 |
| City | DAKOTA DUNES |
| State | SD |
| Zip Code | 57049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790263390 | Sarah Sitzmann-ruehle | Physical Therapist | 101 Tower Road, Suite 120, Dakota Dunes, SD 57049-5011 | 2018-08-06 |
| 1649629957 | Ear Nose and Throat Consultants | Specialist | 101 Tower Road, Suite 110, Dakota Dunes, SD 57049 | 2016-06-07 |
| 1205010204 | Dunes Family Pharmacy Inc | Pharmacy | 101 Tower Road, Ste 130, Dakota Dunes, SD 57049-5341 | 2007-12-27 |
| 1164611372 | Siouxland Gastroenterology P C | Internal Medicine | 101 Tower Road, Suite105, Dakota Dunes, SD 57049-5072 | 2007-10-24 |
| 1053446443 | Beth Bruening PC | Optometrist | 101 Tower Road, Suite 300, Dakota Dunes, SD 57049 | 2007-02-23 |
| 1720031610 | Siouxland Pulmonary Critical Care & Sleep PC | Internal Medicine | 101 Tower Road, Suite 200, Dakota Dunes, SD 57049-5098 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356800 | Dennis Alan Bickett | Physical Therapist | 365 W Anchor Drive, North Sioux City, SD 57049 | 2019-10-02 |
| 1053872416 | Ryan Joel Anderson | Nurse Anesthetist, Certified Registered | Address: 101 Tower Rd, Suite 201, Dakota Dunes, SD 57049 | 2019-03-28 |
| 1043769656 | Jeffrey L Howenstein Dmd Ms PC | Dentist | 711 Sioux Point Rd., Ste. 100, Dakota Dunes, SD 57049 | 2016-09-23 |
| 1821445206 | Abbie A Gacke | Speech-Language Pathologist | 101 Tower Rd Ste 120, Dakota Dunes, SD 57049 | 2016-05-16 |
| 1346606233 | Seth Wolles | Specialist/Technologist | 575 Sioux Point Rd, Dakota Dunes, SD 57049 | 2016-01-07 |
| 1598188252 | Hanger Prosthetics & Orthotics East Inc | Prosthetic/Orthotic Supplier | 330 Dakota Dunes Blvd Ste 150, Dakota Dunes, SD 57049 | 2014-01-30 |
| 1932220217 | Campbell Chiropractic Clinic PC | Chiropractor | 118 Gateway Dr, N. Sioux City, SD 57049 | 2007-04-03 |
| 1912048687 | North Sioux Dental Clinic | Dentist | 101 Merrill Ave., North Sioux City, SD 57049 | 2007-02-08 |
| 1346322716 | Donald B Cork Jr. | Dentist | 101 Merrill Ave, North Sioux City, SD 57049 | 2006-10-19 |
| 1265514681 | Bethany R Nielsen | Dentist | 101 Merrill Ave, Box 1010, North Sioux City, SD 57049 | 2006-10-19 |
| Find all providers in zip 57049 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225266364 | Sarah Bligh | Internal Medicine | 705 N Sioux Point Rd Ste 100, Dakota Dunes, SD 57049-5091 | 2009-06-28 |
| 1164611372 | Siouxland Gastroenterology P C | Internal Medicine | 101 Tower Road, Suite105, Dakota Dunes, SD 57049-5072 | 2007-10-24 |
| 1962622431 | Jeffrey P Michalak | Internal Medicine | 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 57049-5091 | 2007-04-26 |
| 1235192402 | Michael V Persaud | Internal Medicine | 101 Tower Rd, Suite 105, Dakota Dunes, SD 57049 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386965580 | Kunut Kijsirichareanchai | Internal Medicine | 1205 S. Grange Avenue, Mb2, Suite 104, Sanford Gastroenterology Clinic, Sioux Falls, SD 57105 | 2010-06-22 |
| 1871792408 | R. D. Meyer, M.d. | Internal Medicine | 1200 S Euclid Ave Ste 210, Sioux Falls, SD 57105-0433 | 2007-07-13 |
| 1518973221 | Sanford Clinic | Internal Medicine | 1205 S Grange Ave Ste 510, Sioux Falls, SD 57105-0410 | 2006-08-01 |
| 1235183807 | Chandar Singaram | Internal Medicine | 1905 W 57th St Ste 1, Sioux Falls, SD 57108-2893 | 2006-05-19 |
| 1194799882 | Avera Mckennan | Internal Medicine | 6100 S Louise Ave Ste 3100, Sioux Falls, SD 57108-6021 | 2006-02-17 |
| 1063486975 | John D Barker Jr. | Internal Medicine | 1001 E. 21st St., Ste. 501, Sioux Falls, SD 57105 | 2006-02-15 |
| 1134191869 | Kozhikode Veetil Narayanan Menon | Internal Medicine | 1001 E 21st St, Suite 303, Sioux Falls, SD 57105-1033 | 2006-02-06 |
| 1295730356 | Tim M Ridgway | Internal Medicine | 1500 W 22nd St, Ste 101, Sioux Falls, SD 57105-1503 | 2005-06-16 |
| 1619972783 | Christopher Michael Hurley | Internal Medicine | 1417 S Cliff Ave, Suite 300, Sioux Falls, SD 57105-1022 | 2005-06-16 |
| 1205831377 | Jorge A Gilbert | Internal Medicine | 1205 S Grange Ave Ste 104, Sioux Falls, SD 57105-0414 | 2005-06-16 |
| Find all providers with the same taxonomy | ||||
| City | DAKOTA DUNES |
| Zip Code | 57049 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.