Laura Pranke, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D1082 Issued in SD

Practice address

1110 W 5TH St
Canton, SD 57013-1543

Phone

(605) 987-2721

Fax

(605) 987-3312

NPI assigned

Jul 22, 2015

Last updated

Jul 22, 2015By 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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 19, 2015 through Jun 19, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1124403969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "CANTON",
            "state": "SD",
            "postal_code": "570130009",
            "telephone_number": "605-987-2721",
            "fax_number": "605-987-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W 5TH ST",
            "city": "CANTON",
            "state": "SD",
            "postal_code": "570131543",
            "telephone_number": "605-987-2721",
            "fax_number": "605-987-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRANKE",
        "first_name": "LAURA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "D1082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy M Olderbak, OT
• Robert Ronald Perkinson, PH.D.
• Leah Marcella Peterson, P.T.
• Alyssa L Ploen, RN
• Michael Powell, MD
• Patricia Renee Ramse, MSW-PIP
• George Daniel Rath, M.D.
• Kendra Rae Rauk, DNP, FNP-C
• Eugene R Regier, MD
• Sanford Health Network (Sanford Canton Clinic)

• Dentist in Canton, SD
• Providers in Canton, SD by specialty
• Dentist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.