Advanced Dermatology Center, PC
NPI 1346389178ActiveOrganization· Dermatology· Rapid City, SD
Dermatology in Rapid City, South Dakota, registered in NPPES in February 2007. The authorized official on file is Sheila Oday Boddicker, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1346389178 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 6, 2007 |
| Last updated in NPPES | Feb 13, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 0329 | SD |
| Dermatology | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SD) |
|---|
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