Black Hills Dental P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

724 Issued in WY

Legal business name

BLACK HILLS DENTAL P.C.

Practice address

17 S Seneca Ave
Newcastle, WY 82701-2816

Phone

(307) 746-4772

NPI assigned

Feb 3, 2012

Last updated

Feb 9, 2012By 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

Dr. Richard Ratts

Title

Owner

Phone

(307) 746-4772

Specialties & licenses 2

Addresses

Tax ID family

Black Hills Dental PC2 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.

• Blackhills Dental PC

  • General Practice Dentistry
  • Newcastle, WY
  • NPI 1295830354
  NPD tax ID

Locations

Practitioners 1

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.

• Seth Rhoades, DDS

  • Dentist
  • Newcastle, WY
  • NPI 1376779967
  NPD (past)

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1073885224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "NEWCASTLE",
            "state": "WY",
            "postal_code": "827010190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S SENECA AVE",
            "city": "NEWCASTLE",
            "state": "WY",
            "postal_code": "827012816",
            "telephone_number": "307-746-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HILLS DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "RATTS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-746-4772",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "724",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Anne Bahr, R.N.
• Baird Hudson Enterprises, LLC (Mondell Heights Retirement Community)
• Shannon Ballard, PA-C
• Hallie Beth Bell
• Kayla C Bergstrom, PCSW
• Blackhills Dental PC
• Nicole Joyce Bloom, LPC
• Michael Bohn
• Matthew Boyce
• Sara Butts

• General Practice Dentistry in Newcastle, WY
• Providers in Newcastle, WY by specialty
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.