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

Heart Hospital of South Dakota LLC

Organization Cardiovascular Disease Physician · NPI 1407109705

Heart Hospital of South Dakota LLC provides Cardiovascular Disease Physician services in Sioux Falls, South Dakota. Licensed in South Dakota. Registered with an NPI since 2012.

Licensed in
SD
In the registry since
2012
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4520 W 69th St
Sioux Falls, SD 57108-8148 Not confirmed with CMS for 13 years — call before visiting
Phone: (605) 977-5000
Fax: (605) 977-5377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 41953 (SD)
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X · Licence 41953 (SD)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 41953 (SD)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 41953 (SD)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence 41953 (SD)

Record details

NPI number1407109705
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationHeart Hospital of South Dakota LLC
Authorized official Jon Soderholm — President · (605) 977-7005
Other names North Central Heart A Division Of Avera Heart Hospital
NPI enumeratedOctober 24, 2012
Last updated in NPPESOctober 24, 2012
Mailing address4500 W 69th St, Sioux Falls, SD 57108-8148

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