Active NPI
Harvey Dean Spieker, D.D.S.
- General Practice Dentistry
- Clark, SD
National Provider Identifier
1104857440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- M435
- Practice address
- 312 1St Ave W
Clark, SD 57225-1405 - Phone
- (605) 532-3636
- Fax
- (605) 532-3934
- NPI assigned
- Jul 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | M435 | SD | Primary |
Addresses
Primary practice location
312 1St Ave W
Clark, SD 57225-1405
Mailing address
312 1St Ave W
Clark, SD 57225-1405
Phone (605) 532-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M435 | SD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spieker Dental, Inc | General Practice | Past | Accepting new patients |
| Clark Family Dental Center, LLC | Past | Accepting new patients | |
| Hovdes Physical Therapy Clinic LLC | Past | Accepting new patients | |
| Hovdes Physical Therapy Clinic | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Clark Family Dental Center
- General Practice Dentistry
- Clark, SD
- NPI 1821018243
-
- Dental Clinic/Center
- Clark, SD
- NPI 1891201018
-
- Physical Therapist
- Clark, SD
- NPI 1245304435
-
- Physical Therapist
- Clark, SD
- NPI 1114382447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104857440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 1ST AVE W",
"city": "CLARK",
"state": "SD",
"postal_code": "572251405",
"telephone_number": "605-532-3636",
"fax_number": "605-532-3934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 1ST AVE W",
"city": "CLARK",
"state": "SD",
"postal_code": "572251405",
"telephone_number": "605-532-3636",
"fax_number": "605-532-3934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIEKER",
"first_name": "HARVEY",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SD",
"license": "M435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clark, SD
Sources for this page
- 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.