Avera Mckennan
Avera Mckennan is a healthcare organization registered as Diagnostic Radiology Physician in Sioux Falls, SD, holding Type 2 (organization) NPI 1053680678 since 2011. The authorized official on file is Ronald Place, President/Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053680678 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Avera Mckennan |
| Other name | <Unavail> |
| Practice address | 1325 S CLIFF AVE, Sioux Falls, SD, 57105 |
| Phone | 6053221600 |
| Enumeration date | 2011-12-28 |
| Last updated in NPPES | 2026-05-20 |
Authorized official
| Name | Ronald Place |
|---|---|
| Title | President/Ceo |
| Phone | 6053228000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CE0909 | Other | SD | RAILROAD MEDICARE |
| CG9797 | Other | SD | RAILROAD MEDICARE |
Copy-ready billing details
Provider: Avera Mckennan NPI: 1053680678 Taxonomy: 2085R0202X (Diagnostic Radiology Physician) Address: 1325 S CLIFF AVE, Sioux Falls, SD, 57105
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1760308290 | Nicholas Tieszen | Individual | Flight Registered Nurse | Sioux Falls, SD |
| 1568460772 | Avera Mckennan | Organization | General Acute Care Hospital | Sioux Falls, SD |
| 1841285707 | Jeffrey Bard | Individual | Certified Registered Nurse Anesthetist | Sioux Falls, SD |
| 1669469821 | Thomas Johnson | Individual | Pharmacotherapy Pharmacist | Sioux Falls, SD |
| 1427032572 | Kevin Turneau | Individual | Diagnostic Radiology Physician | Sioux Falls, SD |
| 1861477200 | Tami Wolbrink | Individual | Physician Assistant | Sioux Falls, SD |
| 1104896083 | Jose Marius Dosado | Individual | Neonatal-Perinatal Medicine Physician | Sioux Falls, SD |
| 1952371825 | Kandi Mcmenamy | Individual | Neonatal-Perinatal Medicine Physician | Sioux Falls, SD |
Verify this record
Cross-check NPI 1053680678 against the authoritative CMS record: view Avera Mckennan on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Avera Mckennan?
Who is the authorized official for Avera Mckennan?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-05-20.