Healthcare Provider Details

I. General information

NPI: 1952288326
Provider Name (Legal Business Name): SPJMD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 W 69TH ST
SIOUX FALLS SD
57108-8757
US

IV. Provider business mailing address

672 BLUESTEM TRL
DAKOTA DUNES SD
57049-5451
US

V. Phone/Fax

Practice location:
  • Phone: 605-305-5600
  • Fax:
Mailing address:
  • Phone: 712-490-4031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VII. Legacy identifiers

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

VIII. Authorized Official

Name: STEVEN JOYCE
Title or Position: OWNER
Credential: MD
Phone: 712-490-4031