Shakopee Mdewakanton Sioux Community
NPI 1013933381 · Family Medicine Physician · Prior Lake, MN
Provider details
- NPI number
- 1013933381
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melaine Dunlap, Health Director(952) 496-6151
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Chiropractor111N00000X
Chiropractic Providers
- General Practice Dentistry1223G0001X
Dental Providers
- Optometrist152W00000X
Eye and Vision Services Providers
- Occupational Therapy Assistant224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Assistant225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Shakopee Dakota Clinic
Additional practice locations (3)
- 2360 Sioux Trl NwPrior Lake, MN 55372-9077Phone: (952) 233-2886
- 2705 Wozani Ocanku NwPrior Lake, MN 55372Phone: (952) 233-2886
- 15000 Mystic Center DrivePrior Lake, MN 55372Phone: (952) 233-2886
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2025-01-31
- Certified
- 2025-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.