Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Advanced Dermatology of the Black Hills, PC

Organization Dermatology Physician · NPI 1669125241

Advanced Dermatology of the Black Hills, PC provides Dermatology Physician services in Rapid City, South Dakota. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

710 Saint Anne St
Rapid City, SD 57701-4670
Phone: (605) 343-8000
Fax: (605) 343-8262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Dermatology Physician Taxonomy 207N00000X

Record details

NPI number1669125241
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Medeck — Owner/Physician'S Assistant · (605) 381-6082
NPI enumeratedFebruary 2, 2022
Last updated in NPPESFebruary 2, 2022
Certification dateFebruary 2, 2022
Mailing addressPo Box 1473, Rapid City, SD 57709-1473

Other providers in Rapid City