Is DermSD LLC active?

Yes — the South Dakota registry lists DermSD LLC as active, as of the 2026-06-17 source snapshot. The status is republished verbatim from the Secretary of State record.

Where is DermSD LLC registered?

DermSD LLC is registered in South Dakota under company number DL203233, first registered on May 19, 2021.

What type of company is DermSD LLC?

DermSD LLC is registered as an LLC with the South Dakota Secretary of State.

Does DermSD LLC have UCC liens?

No UCC financing statements name DermSD LLC as debtor in the indexed state registries.

Is DermSD LLC a federal contractor?

No federal contract awards or SAM.gov recipient records are matched to DermSD LLC in the indexed federal datasets.

Does DermSD LLC hold any licenses?

26 license and credential records are matched to DermSD LLC. Each license, its type and issuing authority is listed in the Licenses section above.

What public records are linked to DermSD LLC?

27 public records are linked to DermSD LLC: 1 in Filings, 26 in Licenses & authorities — matched across federal, state and municipal registers by its registered legal names.

Where does this data come from?

Every fact on this profile is republished from official public registers — Secretary of State filings, UCC indexes and federal datasets. Each section names its issuing register and the snapshot Netstate last retrieved (latest: 2026-06-17).

DermSD LLC — South Dakota LLC No. DL203233: Active, 1 filing

DermSD LLC is a South Dakota LLC, registered on May 19, 2021. It is based at 25 First Ave. SW STE A, Watertown, SD, 57201. The company is currently listed as active on the South Dakota register and is registered under company number DL203233. Public records for the company include 1 SoS registration and 26 Medicare provider records. Every fact here is republished from an official public register and traces back to a primary source document.

Legal entity name	DermSD LLC
Principal address	25 First Ave. SW STE AWatertown57201SDUnited States
Mailing address	330 Dakota Dunes Blvd ste 400, dakota dunes, SD, 57049
Registration state	South Dakota
Status	Active
Registered	19 May 2021 (over 5 years ago)
Entity type	LLC
Standing	compliant
Company number	DL203233
Registered agent	REGISTERED AGENTS INC
Source registry	South Dakota Secretary of State · updated 15 June 2026
Public records	1 SoS registration

Contacts

PRO

State	Business name	Filed	Registered agent	Officers	Status
South DakotaTHIS	DermSD LLC	2021-05-19	REGISTERED AGENTS INC	—	Active
Filing ID DL203233 Jurisdiction Domestic · LLC Principal address 25 First Ave. SW STE A, Watertown, SD, 57201 Registered agent REGISTERED AGENTS INC25 1ST AVE SW, STE A, WATERTOWN, SD, 57201-3507 Officers Not reported

State	License / ID	Type	Issued	Status
—	1801465976	Medicare / NPI provider	06/22/2021	Unknown
credential — deactivation date — entity type code 2 enumeration date 06/22/2021 first name — last name — last update date 04/15/2026 mailing address 1 211 SIOUX POINT RD STE 200 mailing address 2 — mailing city DAKOTA DUNES mailing country US mailing postal code 570495492 mailing state SD middle name — npi 1801465976 organization name DERMSD LLC practice address 1 211 SIOUX POINT RD STE 200 practice city DAKOTA DUNES practice postal code 570495492 practice state SD reactivation date — taxonomy code 1 207N00000X Source: NPI registry · document npi/
Iowa	1154169944	PHYSICIAN ASSISTANT	—	Unknown
address id IA510231903HA1111XSTXX300 address line 1 1111 11TH ST address line 2 — address line 2 suppressed — city HAWARDEN credential — facility name DERMSD LLC first name EMMA gender F graduation year 2024 group accepts assignment Y individual accepts assignment Y individual enrollment id I20250203001831 individual pac id 0446788269 last name DUPREY medical school SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA middle name ROSE npi 1154169944 num organization members 8 organization pac id 5597153072 primary specialty PHYSICIAN ASSISTANT secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state IA suffix — telehealth — telephone number 6054223000 zip code 510231903 Source: CMS medicare providers · document cms-medicare/
South Dakota	1942644521	PHYSICIAN ASSISTANT	—	Unknown
address id SD570495492DA211XXRDXX401 address line 1 211 SIOUX POINT RD address line 2 SUITE 200 address line 2 suppressed — city DAKOTA DUNES credential PA facility name DERMSD LLC first name JENNA gender F graduation year 2013 group accepts assignment Y individual accepts assignment Y individual enrollment id I20160919001839 individual pac id 3375762669 last name TRUCKENBROD medical school OTHER middle name PA npi 1942644521 num organization members 8 organization pac id 5597153072 primary specialty PHYSICIAN ASSISTANT secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state SD suffix — telehealth — telephone number 6054223000 zip code 570495492 Source: CMS medicare providers · document cms-medicare/
Nebraska	1003079773	DERMATOLOGY	—	Unknown
address id NE687871212WA1200XRDXX300 address line 1 1200 PROVIDENCE RD address line 2 — address line 2 suppressed — city WAYNE credential MD facility name DERMSD LLC first name INDERJIT gender M graduation year 2008 group accepts assignment Y individual accepts assignment M individual enrollment id I20131114002044 individual pac id 5294981312 last name CHABRA medical school STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE middle name — npi 1003079773 num organization members 8 organization pac id 5597153072 primary specialty DERMATOLOGY secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state NE suffix — telehealth Y telephone number 6054223001 zip code 687871212 Source: CMS medicare providers · document cms-medicare/
Nebraska	1104088202	DERMATOLOGY	—	Unknown
address id NE687871212WA1200XRDXX300 address line 1 1200 PROVIDENCE RD address line 2 — address line 2 suppressed — city WAYNE credential MD facility name DERMSD LLC first name PATRICK gender M graduation year 2008 group accepts assignment Y individual accepts assignment Y individual enrollment id I20210907003143 individual pac id 4486810645 last name SAFO medical school HARVARD MEDICAL SCHOOL middle name — npi 1104088202 num organization members 8 organization pac id 5597153072 primary specialty DERMATOLOGY secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state NE suffix — telehealth — telephone number 6054223001 zip code 687871212 Source: CMS medicare providers · document cms-medicare/
Nebraska	1295109478	PHYSICIAN ASSISTANT	—	Unknown
address id NE687871212WA1200XRDXX300 address line 1 1200 PROVIDENCE RD address line 2 — address line 2 suppressed — city WAYNE credential — facility name DERMSD LLC first name EMILY gender F graduation year 2015 group accepts assignment Y individual accepts assignment Y individual enrollment id I20161118000161 individual pac id 4284930496 last name KRUSE medical school OTHER middle name — npi 1295109478 num organization members 8 organization pac id 5597153072 primary specialty PHYSICIAN ASSISTANT secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state NE suffix — telehealth — telephone number 6054223001 zip code 687871212 Source: CMS medicare providers · document cms-medicare/
Nebraska	1720416563	PHYSICIAN ASSISTANT	—	Unknown
address id NE687871212WA1200XRDXX300 address line 1 1200 PROVIDENCE RD address line 2 — address line 2 suppressed — city WAYNE credential — facility name DERMSD LLC first name CRYSTAL gender F graduation year 2013 group accepts assignment Y individual accepts assignment Y individual enrollment id I20140215000043 individual pac id 3072741958 last name OBERLE medical school OTHER middle name M npi 1720416563 num organization members 8 organization pac id 5597153072 primary specialty PHYSICIAN ASSISTANT secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state NE suffix — telehealth Y telephone number 6054223001 zip code 687871212 Source: CMS medicare providers · document cms-medicare/
Nebraska	1942644521	PHYSICIAN ASSISTANT	—	Unknown
address id NE687871212WA1200XRDXX300 address line 1 1200 PROVIDENCE RD address line 2 — address line 2 suppressed — city WAYNE credential PA facility name DERMSD LLC first name JENNA gender F graduation year 2013 group accepts assignment Y individual accepts assignment Y individual enrollment id I20140918001746 individual pac id 3375762669 last name TRUCKENBROD medical school OTHER middle name PA npi 1942644521 num organization members 8 organization pac id 5597153072 primary specialty PHYSICIAN ASSISTANT secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state NE suffix — telehealth — telephone number 6054223001 zip code 687871212 Source: CMS medicare providers · document cms-medicare/
South Dakota	1003079773	DERMATOLOGY	—	Unknown
address id SD570495462DA330XXBLVD404 address line 1 330 DAKOTA DUNES BLVD address line 2 SUITE 400 address line 2 suppressed — city DAKOTA DUNES credential MD facility name DERMSD LLC first name INDERJIT gender M graduation year 2008 group accepts assignment Y individual accepts assignment M individual enrollment id I20120914000106 individual pac id 5294981312 last name CHABRA medical school STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE middle name — npi 1003079773 num organization members 8 organization pac id 5597153072 primary specialty DERMATOLOGY secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state SD suffix — telehealth Y telephone number 6054223000 zip code 570495462 Source: CMS medicare providers · document cms-medicare/
South Dakota	1104088202	DERMATOLOGY	—	Unknown
address id SD570495462DA330XXBLVD404 address line 1 330 DAKOTA DUNES BLVD address line 2 SUITE 400 address line 2 suppressed — city DAKOTA DUNES credential MD facility name DERMSD LLC first name PATRICK gender M graduation year 2008 group accepts assignment Y individual accepts assignment Y individual enrollment id I20210830003122 individual pac id 4486810645 last name SAFO medical school HARVARD MEDICAL SCHOOL middle name — npi 1104088202 num organization members 8 organization pac id 5597153072 primary specialty DERMATOLOGY secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state SD suffix — telehealth — telephone number 6054223000 zip code 570495462 Source: CMS medicare providers · document cms-medicare/

State

License / ID

Type

Issued

Status

—

1801465976

Medicare / NPI provider

06/22/2021

Unknown

credential

—

deactivation date

—

entity type code

enumeration date

06/22/2021

first name

—

last name

—

last update date

04/15/2026

mailing address 1

211 SIOUX POINT RD STE 200

mailing address 2

—

mailing city

DAKOTA DUNES

mailing country

mailing postal code

570495492

mailing state

middle name

—

npi

1801465976

organization name

DERMSD LLC

practice address 1

211 SIOUX POINT RD STE 200

practice city

DAKOTA DUNES

practice postal code

570495492

practice state

reactivation date

—

taxonomy code 1

207N00000X

Source: NPI registry · document npi/

Iowa

1154169944

PHYSICIAN ASSISTANT

—

Unknown

address id

IA510231903HA1111XSTXX300

address line 1

1111 11TH ST

address line 2

—

address line 2 suppressed

—

city

HAWARDEN

credential

—

facility name

DERMSD LLC

first name

EMMA

gender

graduation year

2024

group accepts assignment

individual accepts assignment

individual enrollment id

I20250203001831

individual pac id

0446788269

last name

DUPREY

medical school

SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA

middle name

ROSE

npi

1154169944

num organization members

organization pac id

5597153072

primary specialty

PHYSICIAN ASSISTANT

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

—

telephone number

6054223000

zip code

510231903

Source: CMS medicare providers · document cms-medicare/

South Dakota

1942644521

PHYSICIAN ASSISTANT

—

Unknown

address id

SD570495492DA211XXRDXX401

address line 1

211 SIOUX POINT RD

address line 2

SUITE 200

address line 2 suppressed

—

city

DAKOTA DUNES

credential

facility name

DERMSD LLC

first name

JENNA

gender

graduation year

2013

group accepts assignment

individual accepts assignment

individual enrollment id

I20160919001839

individual pac id

3375762669

last name

TRUCKENBROD

medical school

OTHER

middle name

npi

1942644521

num organization members

organization pac id

5597153072

primary specialty

PHYSICIAN ASSISTANT

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

—

telephone number

6054223000

zip code

570495492

Source: CMS medicare providers · document cms-medicare/

Nebraska

1003079773

DERMATOLOGY

—

Unknown

address id

NE687871212WA1200XRDXX300

address line 1

1200 PROVIDENCE RD

address line 2

—

address line 2 suppressed

—

city

WAYNE

credential

facility name

DERMSD LLC

first name

INDERJIT

gender

graduation year

2008

group accepts assignment

individual accepts assignment

individual enrollment id

I20131114002044

individual pac id

5294981312

last name

CHABRA

medical school

STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE

middle name

—

npi

1003079773

num organization members

organization pac id

5597153072

primary specialty

DERMATOLOGY

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

telephone number

6054223001

zip code

687871212

Source: CMS medicare providers · document cms-medicare/

Nebraska

1104088202

DERMATOLOGY

—

Unknown

address id

NE687871212WA1200XRDXX300

address line 1

1200 PROVIDENCE RD

address line 2

—

address line 2 suppressed

—

city

WAYNE

credential

facility name

DERMSD LLC

first name

PATRICK

gender

graduation year

2008

group accepts assignment

individual accepts assignment

individual enrollment id

I20210907003143

individual pac id

4486810645

last name

SAFO

medical school

HARVARD MEDICAL SCHOOL

middle name

—

npi

1104088202

num organization members

organization pac id

5597153072

primary specialty

DERMATOLOGY

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

—

telephone number

6054223001

zip code

687871212

Source: CMS medicare providers · document cms-medicare/

Nebraska

1295109478

PHYSICIAN ASSISTANT

—

Unknown

address id

NE687871212WA1200XRDXX300

address line 1

1200 PROVIDENCE RD

address line 2

—

address line 2 suppressed

—

city

WAYNE

credential

—

facility name

DERMSD LLC

first name

EMILY

gender

graduation year

2015

group accepts assignment

individual accepts assignment

individual enrollment id

I20161118000161

individual pac id

4284930496

last name

KRUSE

medical school

OTHER

middle name

—

npi

1295109478

num organization members

organization pac id

5597153072

primary specialty

PHYSICIAN ASSISTANT

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

—

telephone number

6054223001

zip code

687871212

Source: CMS medicare providers · document cms-medicare/

Nebraska

1720416563

PHYSICIAN ASSISTANT

—

Unknown

address id

NE687871212WA1200XRDXX300

address line 1

1200 PROVIDENCE RD

address line 2

—

address line 2 suppressed

—

city

WAYNE

credential

—

facility name

DERMSD LLC

first name

CRYSTAL

gender

graduation year

2013

group accepts assignment

individual accepts assignment

individual enrollment id

I20140215000043

individual pac id

3072741958

last name

OBERLE

medical school

OTHER

middle name

npi

1720416563

num organization members

organization pac id

5597153072

primary specialty

PHYSICIAN ASSISTANT

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

telephone number

6054223001

zip code

687871212

Source: CMS medicare providers · document cms-medicare/

Nebraska

1942644521

PHYSICIAN ASSISTANT

—

Unknown

address id

NE687871212WA1200XRDXX300

address line 1

1200 PROVIDENCE RD

address line 2

—

address line 2 suppressed

—

city

WAYNE

credential

facility name

DERMSD LLC

first name

JENNA

gender

graduation year

2013

group accepts assignment

individual accepts assignment

individual enrollment id

I20140918001746

individual pac id

3375762669

last name

TRUCKENBROD

medical school

OTHER

middle name

npi

1942644521

num organization members

organization pac id

5597153072

primary specialty

PHYSICIAN ASSISTANT

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

—

telephone number

6054223001

zip code

687871212

Source: CMS medicare providers · document cms-medicare/

South Dakota

1003079773

DERMATOLOGY

—

Unknown

address id

SD570495462DA330XXBLVD404

address line 1

330 DAKOTA DUNES BLVD

address line 2

SUITE 400

address line 2 suppressed

—

city

DAKOTA DUNES

credential

facility name

DERMSD LLC

first name

INDERJIT

gender

graduation year

2008

group accepts assignment

individual accepts assignment

individual enrollment id

I20120914000106

individual pac id

5294981312

last name

CHABRA

medical school

STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE

middle name

—

npi

1003079773

num organization members

organization pac id

5597153072

primary specialty

DERMATOLOGY

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

telephone number

6054223000

zip code

570495462

Source: CMS medicare providers · document cms-medicare/

South Dakota

1104088202

DERMATOLOGY

—

Unknown

address id

SD570495462DA330XXBLVD404

address line 1

330 DAKOTA DUNES BLVD

address line 2

SUITE 400

address line 2 suppressed

—

city

DAKOTA DUNES

credential

facility name

DERMSD LLC

first name

PATRICK

gender

graduation year

2008

group accepts assignment

individual accepts assignment

individual enrollment id

I20210830003122

individual pac id

4486810645

last name

SAFO

medical school

HARVARD MEDICAL SCHOOL

middle name

—

npi

1104088202

num organization members

organization pac id

5597153072

primary specialty

DERMATOLOGY

secondary specialty 1

—

secondary specialty 2

—

secondary specialty 3

—

secondary specialty 4

—

secondary specialty all

—

state

suffix

—

telehealth

—

telephone number

6054223000

zip code

570495462

Source: CMS medicare providers · document cms-medicare/

DermSD LLC

Contacts

Financials

Industry

Secretary of State Filings

Connections

Liens

Permits

Licenses & authorities

Loans

H-1B

E-Verify

Copyrights

FEC

Customs

401(k)

SEC

Court cases

Frequently asked questions

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