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Export Provider Record NPI 1063508331
Craig Robert NemechekMD
Active
NPI Number1063508331
NPI TypeNPI-1 Individual
SpecialtySurgery
Provider Details
NPI1063508331
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-10-05
Last Updated2025-12-10
Mailing Address575 N Sioux Point Road
Dakota Dunes, SD 57049-5312
United States
Phone: (605) 217-2667 | Fax: (605) 217-2900
📍 View Map
Primary Practice Address575 N Sioux Point Road
Dakota Dunes, SD 57049-5312
United States
Phone: (605) 217-2667 | Fax: (605) 217-2900
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No208600000X – SurgeryIAMD-39504
No208600000X – SurgeryNE26672
Yes208600000X – SurgerySD8107
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About NPI 1063508331

Craig Robert Nemechek MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063508331. The primary specialty listed is Surgery. The provider is located in Dakota Dunes, SD. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063508331?

NPI 1063508331 belongs to Craig Robert Nemechek MD, a Surgery in Dakota Dunes, SD. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063508331 active?

The current status of NPI 1063508331 in the NPPES registry is Active. The record was last updated on 2025-12-10.

What specialty is NPI 1063508331?

NPI 1063508331 is classified under the taxonomy Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063508331?

You can verify NPI 1063508331 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063508331?

The primary practice address on file for NPI 1063508331 is 575 N Sioux Point Road, Dakota Dunes, SD 57049-5312. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063508331 issued?

NPI 1063508331 was first issued (enumerated) on 2006-10-05. The NPPES record was last updated on 2025-12-10.

Practice Location Map

Craig Robert Nemechek is located at 575 N Sioux Point Road, Dakota Dunes, SD. Use the map below to find directions or verify the practice location.

📍 575 N Sioux Point Road, Dakota Dunes, SD 57049-5312  ·  Open in Google Maps ↗

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063508331. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
SurgeryMD-39504IA
Surgery26672NE
Surgery8107SD
Data Verified from CMS NPPES Last synced: 2026-06-17 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162