Serena Whitesell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS-09416 Issued in IA

Practice address

714 W Maple St
Parkston, SD 57366-2313

Phone

(605) 928-3363

NPI assigned

Jun 7, 2017

Last updated

Mar 5, 2024By the provider in NPPES

Sex

Female

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kralik Dental Centers, PC

  dba Family Dental Center of Morningside

  • Dental Clinic/Center
  • Sioux City, IA
  • NPI 1598296519
  NPD (past)

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1104355791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 785",
            "city": "PARKSTON",
            "state": "SD",
            "postal_code": "573660785",
            "telephone_number": "605-928-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W MAPLE ST",
            "city": "PARKSTON",
            "state": "SD",
            "postal_code": "573662313",
            "telephone_number": "605-928-3363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1008 E Industrial St",
            "address_purpose": "LOCATION",
            "city": "Freeman",
            "state": "SD",
            "postal_code": "570298501",
            "country_code": "US",
            "telephone_number": "605-925-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITESELL",
        "first_name": "SERENA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Wager
• Lindsay Rae Weber, CNP
• Suzanne Weber, RPH
• Werning Chiropractic, PC
• Mark A. Werning, D.C.
• Amanda Whittington, DPT
• Jason W. Wickersham, M.D.
• Jessica Ann Wolf, DC

• General Practice Dentistry in Parkston, SD
• Providers in Parkston, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.