Provider Demographics
NPI:1679548267
Name:KENSINGER, DANIEL RYAN (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:RYAN
Last Name:KENSINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CNOS, PC
Mailing Address - Street 2:575 SIOUX POINT ROAD
Mailing Address - City:DAKOTA DUNES
Mailing Address - State:SD
Mailing Address - Zip Code:57049-5312
Mailing Address - Country:US
Mailing Address - Phone:605-217-2667
Mailing Address - Fax:605-217-2900
Practice Address - Street 1:CNOS, PC
Practice Address - Street 2:575 SIOUX POINT ROAD
Practice Address - City:DAKOTA DUNES
Practice Address - State:SD
Practice Address - Zip Code:57049-5312
Practice Address - Country:US
Practice Address - Phone:605-217-2667
Practice Address - Fax:605-217-2900
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD5675207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0589366Medicaid
SD6402284Medicaid
I27896Medicare UPIN
IAI14995Medicare ID - Type Unspecified
SD1295480001Medicare NSC
SD6402284Medicaid
SD100257Medicare ID - Type Unspecified