Jeffrey Wiswall DDS Ms PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

JEFFREY WISWALL DDS MS PC

Practice address

2525 W Main St Ste 307
Rapid City, SD 57702-2443

Phone

(605) 716-3546

NPI assigned

Oct 30, 2015

Last updated

Oct 30, 2015By 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. Jeffrey Wiswall, DDS, MSNPI 1063592160

Title

Owner/Operator

Phone

(605) 716-3546

Specialties & licenses 1

Addresses

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.

• Jeffrey Herbert Wiswall, D.D.S., M.S.

  • Endodontics
  • Rapid City, SD
  • NPI 1063592160
  Authorized official Same address or phone

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1073985982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST STE 307",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST STE 307",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022443",
            "telephone_number": "605-716-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY WISWALL DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "WISWALL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "605-716-3546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay J Schindler MD PLLC (Dakota Spine Support)
• Kris Jeakins, MS, NCC, LPC-MH
• Anna Jealous of Him, RN, BSN
• Jean Hoem Ms LPC-MH QMHP Inc
• Jeffrey Thomas Loftus DDS PC (Loftus Dental)
• Jennifer J. Kozel, PHD, LCP, Inc.
• Jennifer Jackson, LPC, PLLC
• Jennifer L.H. Friedman, DDS, PC
• Becky Jo Jenniges, LPN
• Abbie Jennings, NP

• Endodontics in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Endodontics in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.