Candid South Dakota, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

CANDID SOUTH DAKOTA, LLC

Practice address

519 W 22ND St Ste 100
Sioux Falls, SD 57105-1745

Phone

(860) 481-7631

NPI assigned

Sep 23, 2020

Last updated

Sep 23, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard D'Avanzo

Title

DDS

Phone

(860) 481-7631

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1003423104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 W 22ND ST STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051745",
            "telephone_number": "860-481-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W 22ND ST STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051745",
            "telephone_number": "860-481-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDID SOUTH DAKOTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "D'AVANZO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "860-481-7631"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly R Campbell
• Emily Campbell, LPC-S
• Kiana Yvonne Campbell, M.S.ED
• Mikaela K Campbell
• Miranda Campbell
• Kristin A Canfield, CRNA
• Canistota School 43-1
• Sara Lynne Cantine
• Jennifer Christin Canton, RN
• Meng Cao

• Orthodontics and Dentofacial Orthopedics Dentistry in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.