AVERA MCKENNAN – NPI #1558337899
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

AVERA MCKENNAN is a provider located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1558337899 to AVERA MCKENNAN on February 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Mar 19, 2026. 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 AVERA MCKENNAN below.

NPI Profile for
AVERA MCKENNAN

NPI Number
1558337899
Enumeration Date

(more than 20 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
AVERA MCKENNAN
Other name(s)
All associated names:
Doing Business As (dba)
Avera Medical Group Pediatric Specialists Sioux Falls
Doing Business As (dba)
Avera Pediatric Specialists Clinic
Primary location
1417 S. CLIFF AVE.
STE. 010
SIOUX FALLS, SD 57105-1014
Phone: (605) 322-3666 Fax: (605) 322-3665
1 Other location(s):
911 E 20th St Ste 510
Sioux Falls, SD 57105-1042
Phone: (605) 322-3666
Mailing address
PO BOX 86370
SIOUX FALLS, SD 57118-6370
Phone: (605) 322-7510 Fax: (605) 322-6475
Organization Subpart
No
Authorized Official
RONALD PLACE
CEO/PRESIDENT
Phone: (605) 322-8000
Updated
Certification Date
Mar 19, 2026

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.

Identifiers

Identifiers for AVERA MCKENNAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherBCBSMN3D887KU
otherBCBSSD0006729
otherBCBS WORTHINGTONMN250R5PE
otherBLUE PLUSMN3D887KU
otherDEPT OF LABORSD370624200
otherHEALTHPARTNERSSD65740
otherPRIMEWESTMN000080878
medicaidIA0248534
medicaidMN200806800
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
208000000X
- Pediatrics (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.