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

Dr. Dominic Shuttleworth, DO

Individual provider Family Medicine Physician · NPI 1215673504

Dr. Dominic Shuttleworth, DO is a Family Practice in Pierre, South Dakota. Qualified in 2022, 4 years ago. Practices with Avera St Marys, a 95-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
4
Licensed in
SD
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

801 E Sioux Ave
Pierre, SD 57501-3323
Phone: (605) 224-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1115 E 20th St, Sioux Falls, SD 57105-1013 — (605) 333-1000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 17650 (SD)

Record details

NPI number1215673504
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 9, 2022
Last updated in NPPESDecember 24, 2025
Certification dateDecember 24, 2025
Mailing address204 E Meade St, Rapid City, SD 57701-5658

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Avera St Marys — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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