NPIMap

Organization Active NPI

Roth Haave LLC

Doing business as Wilson Park Dental

  • General Practice Dentistry
  • Rapid City, SD
National Provider Identifier
1124337787
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D0812 Issued in SD
Legal business name
ROTH HAAVE LLC
Doing business as
Wilson Park Dental
Practice address
807 Saint Andrew St
Rapid City, SD 57701-4526
Phone
(605) 343-9352
NPI assigned
Sep 30, 2010
Last updated
Sep 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Dr. Kate S Haave, DDSNPI 1437319613
Title
Dentist / Owner
Phone
(605) 343-9352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X D0812 SD Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X M697 SD

Addresses

Primary practice location

807 Saint Andrew St
Rapid City, SD 57701-4526

Mailing address

807 Saint Andrew St
Rapid City, SD 57701-4526
Phone (605) 343-9352

Other names 1

  • Wilson Park Dental Doing business as

National Provider Directory

National Provider Directory

Locations

807 Saint Andrew St
Rapid City, SD 57701
Phone (605) 343-9352

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1124337787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 SAINT ANDREW ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014526",
            "telephone_number": "605-343-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 SAINT ANDREW ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014526",
            "telephone_number": "605-343-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTH HAAVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "HAAVE",
        "authorized_official_first_name": "KATE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "605-343-9352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D0812",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M697",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilson Park Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.