Jesse Michael Dana, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

M961 Issued in SD

Practice address

1306 N Main St
Spearfish, SD 57783-1503

Phone

(605) 717-2722

Fax

(605) 722-7645

NPI assigned

Apr 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Black Hills Orthodontics, Prof. L.L.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rapid City, SD
  • NPI 1346069135

  Orthodontics and Dentofacial Orthopedics

  NPD (past) Authorized official
• Dana Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Spearfish, SD
  • NPI 1063618015

  Orthodontics and Dentofacial Orthopedics

  NPD (past) Authorized official
• SD Specialty Dental Services, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rapid City, SD
  • NPI 1679393532

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104040872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 N MAIN ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831503",
            "telephone_number": "605-717-2722",
            "fax_number": "605-722-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 N MAIN ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831503",
            "telephone_number": "605-717-2722",
            "fax_number": "605-722-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANA",
        "first_name": "JESSE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SD",
            "license": "M961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Custis, ED.S, NCSP
• Jessica R Czerny, O.D.
• Dakota Orthopedic
• Dana Orthodontics
• Bradly Ray Dana, D.D.S.
• Michael Ray Dana, D.D.S., P.C.
• Monique Maria Dana, DDS
• Nicole Deve Dana, D.D.S.
• Breenna Davidson, DPT
• Katy Anne Davis

• All providers in Spearfish, SD
• Orthodontics and Dentofacial Orthopedics Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.