Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Dermatology of the Black Hills, PC

Organization Dermatology Physician · NPI 1669125241

Advanced Dermatology of the Black Hills, PC is a Dermatology Physician 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.

See every abbreviation used in this directory →

Practice location Address checks out

710 Saint Anne St
Rapid City, SD 57701-4670
Phone: (605) 343-8000
Fax: (605) 343-8262
Show map & directions

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