Organization Active NPI

Lyde J. Adams, D.D.S. Inc.

  • Endodontics
  • Rapid City, SD
National Provider Identifier
1023436276
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
LYDE J. ADAMS, D.D.S. INC.
Practice address
2525 W Main St
Ste # 206
Rapid City, SD 57702-0901
Phone
(605) 348-4868
Fax
(605) 737-7870
NPI assigned
Apr 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Authorized official

Name
Dr. Lyde Jefferson Adams, D.D.S.
Title
Endodontist
Phone
(605) 348-4868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

2525 W Main St
Ste # 206
Rapid City, SD 57702-0901

Mailing address

2525 W Main St
Ste # 206
Rapid City, SD 57702-0901
Phone (605) 348-4868

Other names 1

  • Black Hills Endodontic Associates Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Black Hills Endodontic Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1023436276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST",
            "address_2": "STE # 206",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020901",
            "telephone_number": "605-348-4868",
            "fax_number": "605-737-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST",
            "address_2": "STE # 206",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020901",
            "telephone_number": "605-348-4868",
            "fax_number": "605-737-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDE J. ADAMS, D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "LYDE",
        "authorized_official_middle_name": "JEFFERSON",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "605-348-4868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Hills Endodontic Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 4, 2014; 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.