Organization Active NPI

Anderson Dental P.C.

  • Dentist
  • Rapid City, SD
National Provider Identifier
1063019537
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ANDERSON DENTAL P.C.
Practice address
1219 Saint Joseph St
Rapid City, SD 57701-2669
Phone
(605) 721-1219
NPI assigned
Oct 7, 2020
Last updated
Oct 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Authorized official

Name
Karl AndersonNPI 1699157628
Title
Owner/Doctor
Phone
(605) 721-1219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1219 Saint Joseph St
Rapid City, SD 57701-2669

Mailing address

1219 Saint Joseph St
Rapid City, SD 57701-2669

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dental@rapidnet.com

National Provider Directory

National Provider Directory

Locations

1219 Saint Joseph St
Rapid City, SD 57701
Phone (605) 721-1219

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1063019537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 SAINT JOSEPH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 SAINT JOSEPH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012669",
            "telephone_number": "605-721-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "605-721-1219"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dental@rapidnet.com",
            "affiliation": "N",
            "address_1": "1219 Saint Joseph St",
            "city": "Rapid City",
            "state": "SD",
            "country_code": "US",
            "postal_code": "577012669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Oct 7, 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.