MR. DANIEL MARTIN TACKETT (NPI# 1457347007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457347007 |
| Entity Type | Individual |
| Full Name | MR. DANIEL MARTIN TACKETT |
| Other Name | DAN M TACKETT |
| Credential | MD |
| Practice Address |
3751 Skyline Dr Rapid City SD 57701-5363 |
| Practice Telephone | 6053417248 |
| Practice Fax Number | 6054310268 |
| Mailing Telephone | 6053417248 |
| Mailing Fax Number | 6054310268 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2017-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
1894 | SD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 102240700 | 05 | |
| SD | 7202112 | 05 | |
| RAILROAD MEDICARE | 920002680 | 01 |
| Street Address |
3751 SKYLINE DR |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-5363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396067948 | Ronald G Drummond | Radiology | 1910 Highwood Road, Rapid City, SD 57701 | 2010-02-24 |
| 1225174402 | Michael John Swartz | Radiology | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2007-01-29 |
| 1447343827 | Dakota West Radiation Oncology PC | Radiology | 353 Fairmont Blvd, Rapid City, SD 57701 | 2006-09-30 |
| 1437144102 | Eric Stener Eastmo | Radiology | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2005-09-19 |
| 1568457257 | Daniel Grant Petereit | Radiology | 353 Fairmont Blvd, Rapid City, SD 57701-7375 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760625768 | Kyle Owen Arneson | Radiology | 1000 E 23rd St Ste 100, Sioux Falls, SD 57105-2114 | 2009-04-07 |
| 1346339777 | Michael E Peterson Md PC | Radiology | 605 N Foster, Mitchell, SD 57301-2902 | 2006-10-12 |
| 1336238757 | Michael E Peterson | Radiology | 1115 W 9th St, Yankton, SD 57078-3310 | 2006-10-12 |
| 1568427144 | Stephen Dick | Radiology | 605 N Foster St, Mitchell, SD 57301-2902 | 2006-04-18 |
| 1962927269 | Avera Queen of Peace | Radiology | 605 N Foster St, Mitchell, SD 57301-2902 | 2017-08-08 |
| 1780004713 | Avera St Lukes | Radiology | 310 S Penn St, Suite 105, Aberdeen, SD 57401 | 2014-04-17 |
| 1346529211 | Sanford Clinic | Radiology | 1309 W 17th St, Sioux Falls, SD 57104-4663 | 2011-08-10 |
| 1477847861 | Avera Mckennan | Radiology | 1000 E. 23rd St., Ste. 100, Sioux Falls, SD 57105-2113 | 2011-06-03 |
| 1710270061 | Joel L Grow | Radiology | 1000 E 23rd St Ste 100, Sioux Falls, SD 57105-2114 | 2011-05-19 |
| 1578794715 | Troy Edward Adolfson | Radiology | 620 3rd Ave Se, Aberdeen, SD 57401-4554 | 2009-08-06 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on MR. DANIEL MARTIN TACKETT.
| 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.