Individual provider Active NPI

Konard Otto Hauffe, DDS

  • General Practice Dentistry
  • Brookings, SD
National Provider Identifier
1013983170
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D15378 Issued in MN
Practice address
717 N. Main Ave.
Brookings, SD 57006
Phone
(605) 692-4715
Fax
(605) 692-2427
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X M722 SD
General Practice Dentistry 1223G0001X D15378 MN Primary

Addresses

Primary practice location

717 N. Main Ave.
Brookings, SD 57006

Mailing address

P O Box 543
Brookings, SD 57006
Phone (605) 692-4715

Other identifiers 1

IdentifierTypeStateIssuer
7806180MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D15378MNMDGeneral Practice Dentistry
M722SDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
North Main Family Dentistry LLC General Practice PastSince Jun 5, 2022 Accepting new patients
Konard O. Hauffe, DDS, PC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1013983170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 543",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "57006",
            "telephone_number": "605-692-4715",
            "fax_number": "605-692-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N. MAIN AVE.",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "57006",
            "telephone_number": "605-692-4715",
            "fax_number": "605-692-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUFFE",
        "first_name": "KONARD",
        "middle_name": "OTTO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M722",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D15378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806180",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.