MICHAEL D. HOMER (NPI# 1366596686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366596686 |
| Entity Type | Individual |
| Full Name | MICHAEL D. HOMER |
| Credential | D.M.D. |
| Practice Address |
3500 S Kiwanis Ave Suite 100 Sioux Falls SD 57105-8119 |
| Practice Telephone | 6053363446 |
| Practice Fax Number | 6053739269 |
| Mailing Telephone | 6053363446 |
| Mailing Fax Number | 6053739269 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D0509 | SD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477784668 | Michael Vance Homer | Student in an Organized Health Care Education/Training Program | 200 W Arbor Dr, San Diego, CA 92103-9001 | 2009-08-05 |
| Street Address |
3500 S KIWANIS AVE SUITE 100 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-8119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013139393 | Michael D. Homer D.m.d., P.C. | Dentist | 3500 S Kiwanis Ave, Suite 100, Sioux Falls, SD 57105-8119 | 2007-05-03 |
| 1750400537 | Bunkers Inc | Social Worker | 3500 S Kiwanis Ave, Suite 104, Sioux Falls, SD 57105-8119 | 2007-03-29 |
| 1255450052 | Gleason-wilson, Inc. | Counselor | 3500 S Kiwanis Ave, Suite 104, Sioux Falls, SD 57105-8119 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1255656807 | Andrew Thomas Wiswall | Dentist | 2333 W 57th St, Suite 103, Sioux Falls, SD 57108-5053 | 2010-04-06 |
| 1013139393 | Michael D. Homer D.m.d., P.C. | Dentist | 3500 S Kiwanis Ave, Suite 100, Sioux Falls, SD 57105-8119 | 2007-05-03 |
| 1215155734 | Richard Dwight Allen | Dentist | 1704 S Cleveland Ave, Suite #6, Sioux Falls, SD 57103-3902 | 2007-04-22 |
| 1205962594 | Richard D. Allen, D.d.s., P.C. | Dentist | 1704 S Cleveland Ave, Suite 6, Sioux Falls, SD 57103-3902 | 2007-02-23 |
| 1013042027 | Marshall T. Lavin, Dds, PC | Dentist | 1710 S Southeastern Ave, Suite 100, Sioux Falls, SD 57103-3381 | 2007-02-22 |
| 1710059605 | Mark Michael Bierma | Dentist | 5000 S Broadband Ln, Suite 126, Sioux Falls, SD 57108-2260 | 2006-11-15 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.