LYDE J. ADAMS, D.D.S. INC. (NPI# 1023436276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023436276 |
| Entity Type | Organization |
| Organization Name | LYDE J. ADAMS, D.D.S. INC. |
| Other Organization Name | BLACK HILLS ENDODONTIC ASSOCIATES |
| Practice Address |
2525 W Main St Ste # 206 Rapid City SD 57702-0901 |
| Practice Telephone | 6053484868 |
| Practice Fax Number | 6057377870 |
| Mailing Telephone | 6053484868 |
| Mailing Fax Number | 6057377870 |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |
| Authorized Official Name | DR. LYDE JEFFERSON ADAMS (ENDODONTIST) |
| Authorized Official Telephone | 6053484868 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Black Hills Endodontic Associates | Former Legal Business Name - Organization |
| Street Address |
2525 W MAIN ST STE # 206 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-0901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720416506 | Lyde J Adams Dds Inc | Clinic/Center | 2525 W Main St, Suite 206, Rapid City, SD 57702-0901 | 2013-10-14 |
| 1316389117 | Steven Frederick Wiswall | Dentist | 2525 W Main St, Suite 206, Rapid City, SD 57702-0901 | 2013-07-22 |
| 1669675724 | Chad M. Carpenter Dds | Dentist | 2525 W Main St, Suite #307, Rapid City, SD 57702-0901 | 2007-06-07 |
| 1245386168 | Mark Elliott Hogg | Dentist | 2525 W Main St, Ste. 206, Rapid City, SD 57702-0901 | 2007-01-25 |
| 1578640009 | Chad Carpenter | Dentist | 2525 W Main St, Suite 307, Rapid City, SD 57702-0901 | 2006-11-01 |
| 1609966779 | Nathan William Schwandt | Dentist | 2525 W Main St, Suite 206, Rapid City, SD 57702-0901 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063592160 | Jeffrey Herbert Wiswall | Dentist | 2525 W Main St Ste 307, Rapid City, SD 57702-2443 | 2006-10-16 |
| 1073985982 | Jeffrey Wiswall Dds Ms PC | Dentist | 2525 W Main St Ste 307, Rapid City, SD 57702-2443 | 2015-10-30 |
| 1386013688 | Wiswall Adams Endodontics LLC | Dentist | 2525 W Main St Ste 307, Rapid City, SD 57702-2443 | 2015-09-17 |
| 1316389117 | Steven Frederick Wiswall | Dentist | 2525 W Main St, Suite 206, Rapid City, SD 57702-0901 | 2013-07-22 |
| 1245386168 | Mark Elliott Hogg | Dentist | 2525 W Main St, Ste. 206, Rapid City, SD 57702-0901 | 2007-01-25 |
| 1609966779 | Nathan William Schwandt | Dentist | 2525 W Main St, Suite 206, Rapid City, SD 57702-0901 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427561042 | Michael Wheatley Dds of South Dakota PC | Dentist | 811 Belfast St, Yankton, SD 57078-3324 | 2017-11-06 |
| 1952509333 | Walter W Cox | Dentist | 708 S Roosevelt St, Aberdeen, SD 57401-0300 | 2007-07-06 |
| 1366596686 | Michael D. Homer | Dentist | 3500 S Kiwanis Ave, Suite 100, Sioux Falls, SD 57105-8119 | 2007-01-23 |
| 1841369816 | Steven George Dietrich | Dentist | 3500 S Kiwanis Avenue, Suite 100, Sioux Falls, SD 57105 | 2006-11-06 |
| 1356421168 | Marshall Thomas Lavin | Dentist | 1710 S Southeastern Ave, Sioux Falls, SD 57103-3381 | 2006-10-16 |
| 1023089596 | Anne Elizabeth Wiseman | Dentist | 5110 W 26th St, Sioux Falls, SD 57106-3520 | 2006-01-31 |
| 1972101277 | Wiseman Endodontics LLC | Dentist | 5110 W 26th St, Sioux Falls, SD 57106-3520 | 2020-10-09 |
| 1902329949 | Hermanson Endodontics LLC | Dentist | 1709 N Lincoln Ave Ste 103, Pierre, SD 57501-7809 | 2017-07-21 |
| 1578926333 | Prairie Ridge Endodontics | Dentist | 600 4th St Ne Suite 101, Watertown, SD 57201 | 2016-03-30 |
| 1255656807 | Andrew Thomas Wiswall | Dentist | 2333 W 57th St, Suite 103, Sioux Falls, SD 57108-5053 | 2010-04-06 |
| Find all providers with the same taxonomy | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.