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

Mr. Robert Vandeventer, PA-C

Individual provider Physician Assistant · NPI 1023005626

Mr. Robert Vandeventer, PA-C is a Physician Assistant in Rapid City, South Dakota. Licensed in South Dakota. Registered with an NPI since 2005.

Licensed in
SD
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

408 Knollwood Dr
Rapid City, SD 57701
Phone: (605) 755-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0303 (SD)

Record details

NPI number1023005626
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 29, 2005
Last updated in NPPESSeptember 5, 2013

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