DAKOTA DENTAL 4 KIDS (NPI# 1023660719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023660719 |
| Entity Type | Organization |
| Organization Name | DAKOTA DENTAL 4 KIDS |
| Practice Address |
5509 Bendt Dr Ste 302 Rapid City SD 57702-9460 |
| Practice Telephone | 6053425995 |
| Mailing Telephone | 6053425995 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | CHRIS TEESLINK (OFFICE MANAGER) |
| Authorized Official Telephone | 6053425995 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
5509 BENDT DR STE 302 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702-9460 |
| 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 | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403957 | Black Hills Modern Endodontics | Clinic/Center | 655 Omaha St Ste 400, Rapid City, SD 57701-2744 | 2019-12-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| 1699976902 | Mary K. Roth D.d.s. PC | Clinic/Center | 807 Saint Andrew St, Rapid City, SD 57701-4526 | 2007-05-31 |
| 1275131013 | Elden M Rice Dds PC | Clinic/Center | 3712 Canyon Lake Dr, Rapid City, SD 57702-3198 | 2020-10-14 |
| 1962054643 | Rapid City Dental Clinic | Clinic/Center | 2525 W Main St Ste 304, Rapid City, SD 57702-2487 | 2019-07-12 |
| 1205393394 | Black Hills Orthodontics, Prof. L.L.C. | Clinic/Center | 5150 5th St, Rapid City, SD 57701-6023 | 2019-02-25 |
| 1386092674 | Reausaw-wilson, Dmd, P.C. | Clinic/Center | 4215 Berniece St, Rapid City, SD 57703-6410 | 2016-05-27 |
| 1952768186 | Michael H Doerr, D.m.d., P.C. | Clinic/Center | 801 Mount Rushmore Rd, Suite 201, Rapid City, SD 57701-3614 | 2016-01-19 |
| 1831576875 | Joshua W Nehring Dds, PC | Clinic/Center | 2800 Jackson Blvd Ste 6, Rapid City, SD 57702-3477 | 2015-04-29 |
| 1356733042 | Eric Wilbur Dmd PC | Clinic/Center | 211 Founders Park Dr, Suite 2, Rapid City, SD 57701-8098 | 2015-03-04 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57702 |
Please comment or provide details below to improve the information on DAKOTA DENTAL 4 KIDS.
| 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.