RIVERS EDGE AESTHETIC SURGERY, LLC – NPI #1285936641
Clinic/Center

RIVERS EDGE AESTHETIC SURGERY, LLC is an AHC clinic located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1285936641 to RIVERS EDGE AESTHETIC SURGERY, LLC on November 17, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 6 years ago on Jan 30, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RIVERS EDGE AESTHETIC SURGERY, LLC below.

NPI Profile for
RIVERS EDGE AESTHETIC SURGERY, LLC

NPI Number
1285936641
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RIVERS EDGE AESTHETIC SURGERY, LLC
Primary location
4201 SOUTH MINNESOTA AVENUE
STE. 111
SIOUX FALLS, SD 57105-6742
Phone: (605) 335-3349 Fax: (605) 336-8436
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARVIN SMOOT
DIRECTOR
Phone: (605) 335-3349
Updated
Certification Date
Jan 30, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.