MONUMENT HEALTH NETWORK, INC. — NPI 1124563655 (Licensed & Credentialed Dietary & Nutritional Service Providers

CMS-1500 Box 24J / 33a • NPI

1124563655

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

133V00000X (CMS 71)

Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered

Box 32 Service Location & ZIP+4

71 CHARLES ST, DEADWOOD, SD, 57732

Official NPPES Practice Location

Practice Phone & Referral Fax

(605) 717-6431

Fax: (605) 755-7884

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1124563655 (MONUMENT HEALTH NETWORK, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1124563655` (NPI-2 Organization / Facility)
Provider / Legal Name	MONUMENT HEALTH NETWORK, INC.
Plain-English Specialty	Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered NUCC Code: `133V00000X` (Dietitian, Registered)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	71 CHARLES ST, DEADWOOD, SD, 57732
Practice Telephone / Fax	Tel: (605) 717-6431 \| Fax: (605) 755-7884
Administrative Mailing Address	PO BOX 860013, MINNEAPOLIS, MN, 55486-0013
Enumeration & Last Sync	Enumerated: 2016-12-19 \| CMS Record Updated: 2022-03-09
Authorized Official	MARK SCHMIDT (President Custer LD-DWD Markets)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

71 CHARLES ST, DEADWOOD, SD, 57732

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Plain-English Taxonomy & CMS Crosswalk (133V00000X)

What Does Taxonomy Code 133V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 133V00000X translates to:
"Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 71 (Registered Dietitian or Nutrition Professional)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Dietitian, Registered for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MONUMENT HEALTH NETWORK, INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`133V00000X` — Dietitian, Registered Plain English: Licensed & Credentialed Dietary & Nutritional Service Providers — Dietician, Registered	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MONUMENT HEALTH NETWORK, INC. (NPI #1124563655)