NPIMap

Organization Active NPI

Delta Dental of South Dakota Foundation

Doing business as Hygiene Program

  • Dental Clinic/Center
  • Pierre, SD
National Provider Identifier
1124363957
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DELTA DENTAL OF SOUTH DAKOTA FOUNDATION
Doing business as
Hygiene Program
Practice address
804 N Euclid Ave
Pierre, SD 57501-1719
Phone
(605) 224-7345
Fax
(605) 224-0909
NPI assigned
Dec 5, 2012
Last updated
Feb 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Connie Halverson
Title
VP of Public Benefit
Phone
(605) 494-2547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

804 N Euclid Ave
Pierre, SD 57501-1719

Mailing address

804 N Euclid Ave
Pierre, SD 57501-1719
Phone (605) 494-2547

Other names 1

  • Hygiene Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Delta Dental of South Dakota Foundation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

804 N Euclid Ave
Pierre, SD 57501
Phone (605) 224-7345

Practitioners & affiliated clinicians

Practitioners 3

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": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1124363957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N EUCLID AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575011719",
            "telephone_number": "605-494-2547",
            "fax_number": "605-224-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N EUCLID AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575011719",
            "telephone_number": "605-224-7345",
            "fax_number": "605-224-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA DENTAL OF SOUTH DAKOTA FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "HALVERSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "VP OF PUBLIC BENEFIT",
        "authorized_official_telephone_number": "605-494-2547"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hygiene Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pierre, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.