IndividualActive
Daniel Moore, PA-C
NPI 1154710077 · Physician Assistant · Dakota Dunes, SD
Provider details
- NPI number
- 1154710077
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 076565 (IA)
Practice location
345 W Steamboat Dr
Dakota Dunes, SD 57049-5333
Phone: (605) 217-5617
Mailing address
345 W Steamboat Dr Ste 601
Dakota Dunes, SD 57049-5287
Registry dates
- Enumerated
- 2015-01-15
- Last updated
- 2025-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.