Individual provider Active NPI

Harvey Dean Spieker, D.D.S.

  • General Practice Dentistry
  • Clark, SD
National Provider Identifier
1104857440
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
M435 Issued in SD
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
M435SDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Spieker Dental, Inc General Practice PastSince Jan 26, 2013 Accepting new patients
Clark Family Dental Center, LLC Past Accepting new patients
Hovdes Physical Therapy Clinic LLC PastSince Jan 1, 2016 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.

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.

Verify at the official NPI Registry.