NPIMap

Organization Active NPI

Nelson & Bury Dentistry P.L.L.C.

Doing business as Nelson Dental & Associates

  • General Practice Dentistry
  • Rapid City, SD
National Provider Identifier
1013422419
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D1111 Issued in SD
Legal business name
NELSON & BURY DENTISTRY P.L.L.C.
Doing business as
Nelson Dental & Associates
Practice address
1611 Sheridan Lake Rd
Rapid City, SD 57702-3423
Phone
(605) 341-3670
NPI assigned
Dec 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Authorized official

Name
Dr. Matthew D Bury, DDS
Title
President/ Dentist
Phone
(605) 393-7364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D1111 SD Primary

Addresses

Primary practice location

1611 Sheridan Lake Rd
Rapid City, SD 57702-3423

Mailing address

1611 Sheridan Lake Rd
Rapid City, SD 57702-3423
Phone (605) 341-3670

Other names 1

  • Nelson Dental & Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1611 Sheridan Lake Rd
Rapid City, SD 57702
Phone (605) 341-3670

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1013422419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 SHERIDAN LAKE RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023423",
            "telephone_number": "605-341-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 SHERIDAN LAKE RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023423",
            "telephone_number": "605-341-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON & BURY DENTISTRY P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "BURY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/ DENTIST",
        "authorized_official_telephone_number": "605-393-7364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D1111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson Dental & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.