Healthcare Provider Details

I. General information

NPI: 1538962519
Provider Name (Legal Business Name): FRANK J WHIPPLE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2025
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 E 5TH ST
CANTON SD
57013-1923
US

IV. Provider business mailing address

420 S HENRY ST
PIERRE SD
57501-4515
US

V. Phone/Fax

Practice location:
  • Phone: 605-494-1500
  • Fax:
Mailing address:
  • Phone: 605-494-1500
  • Fax: 605-494-1501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6770
License Number StateSD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: