NPI 1225324791 · live from the CMS NPI Registry
Tyler Anthony Ptacek, M.D.
Pain Medicine, Interventional Pain Medicine in Rapid City, SD. National Provider Identifier 1225324791, active.
NPI record
| NPI | 1225324791 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pain Medicine, Interventional Pain Medicine 208VP0014X |
| Practice location | 101 E Minnesota St Ste 200, Rapid City, SD 57701 |
| Practice phone | 605-342-3280 |
| Mailing address | 3509 Dunham Dr, Rapid City, SD 57702 |
| Enumerated | June 23, 2011 |
| Last updated | April 4, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 7731 (KS) |
| Pain Medicine, Interventional Pain Medicine primary | 208VP0014X | 12138 (SD) |
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | 2016019592 (MO) |
| Anesthesiology | 207L00000X | 6652 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.