WISEMAN ENDODONTICS LLC (NPI# 1972101277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972101277 |
| Entity Type | Organization |
| Organization Name | WISEMAN ENDODONTICS LLC |
| Practice Address |
5110 W 26th St Sioux Falls SD 57106-3520 |
| Practice Telephone | 6052051055 |
| Mailing Telephone | 6052051055 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | BRIAN CHRISTOPHER PEDURAND (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 7602777877 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| Street Address |
5110 W 26TH ST |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57106-3520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023089596 | Anne Elizabeth Wiseman | Dentist | 5110 W 26th St, Sioux Falls, SD 57106-3520 | 2006-01-31 |
| 1235440769 | Shawd Nbd 26th P.C. | Dentist | 5110 W 26th St, Unit 5, Sioux Falls, SD 57106-3520 | 2010-06-30 |
| 1457662983 | Andrew C Johnson | Dentist | 5110 W 26th St, Unit 5, Sioux Falls, SD 57106-3520 | 2010-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487279675 | Complete Medical Supply | Durable Medical Equipment & Medical Supplies | 5107 W. 41st Street, Suite 4, Sioux Falls, SD 57106 | 2020-06-12 |
| 1033755384 | Priority Dental Care, Pllc | Dentist | 6301, W. 41st St., Sioux Falls, SD 57106 | 2019-11-21 |
| 1033750005 | Joel Holzapfel | Physical Therapist | 2571 Sw Lake Drive, Suite 200, Sioux Falls, SD 57106 | 2019-10-01 |
| 1043866114 | Keiser Chiropractic Prof., LLC | Chiropractor | 4009 W 49th St Ste 310, Sioux Falls, SD 57106 | 2019-08-14 |
| 1336700715 | Barbara Jean Jost | Occupational Therapy Assistant | Good Samaritan Sioux Falls Village, 3901 South Marion Road, Sioux Falls, SD 57106 | 2019-06-26 |
| 1285068346 | Aimee M Moulton | Pharmacist | 5105 S. Crossings Place Ste #4, Sioux Falls, SD 57106 | 2013-08-26 |
| 1740526870 | Frank O. Main Jr. | Marriage & Family Therapist | 4300 Louise Avenue #201, Stronghold Counseling Services, Sioux Falls, SD 57106 | 2012-12-18 |
| 1801107222 | Bridget Jean Lervick | Dentist | 5121 S. Solberg Ave., Suite 120, Sioux Falls, SD 57106 | 2010-06-30 |
| 1083855217 | Megan Jean Woodraska | Dietitian, Registered | 1900 S. Marion Rd., Sioux Falls, SD 57106 | 2009-03-18 |
| 1427216373 | Carol Marie Rowe | Occupational Therapist | 26650 Wayne Avenue, Sioux Falls, SD 57106 | 2008-05-28 |
| Find all providers in zip 57106 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 | 57106 |
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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.