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Advanced Dermatology of the Black Hills, PC

Physician Assistant in Rapid City, SD · enumerated 2022 · authorized official Jonathan Medeck, Owner/Physician'S Assistant.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669125241

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Registry record

Entity type Organization (Type 2)
Legal business name Advanced Dermatology of the Black Hills, PC
Practice address 710 Saint Anne St, Rapid City, SD, 57701
Phone (605) 343-8000
Fax (605) 343-8262
Enumeration date Feb 2, 2022
Last updated in NPPES Feb 2, 2022

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Jonathan Medeck
Title Owner/Physician'S Assistant
Phone (605) 381-6082

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.

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Frequently asked questions

What type of organization is Advanced Dermatology of the Black Hills, PC?
Advanced Dermatology of the Black Hills, PC is registered in NPPES as a Physician Assistant (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-02-02.