Chanku Waste Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHANKU WASTE DENTAL LLC

Practice address

118 Chanku Waste Rd
Porcupine, SD 57772-3099

Phone

(605) 455-2052

NPI assigned

Mar 16, 2022

Last updated

Mar 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David A Rempel, DDS

Title

Owner

Phone

(605) 455-2052

Specialties & licenses 1

Addresses

Other names 1

• Chanku Waste Dental PLLC Former legal business name

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1124776398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CHANKU WASTE RD",
            "city": "PORCUPINE",
            "state": "SD",
            "postal_code": "577723099",
            "telephone_number": "605-455-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CHANKU WASTE RD",
            "city": "PORCUPINE",
            "state": "SD",
            "postal_code": "577723099",
            "telephone_number": "605-455-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANKU WASTE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "REMPEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-455-2052",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chanku Waste Dental PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• General Practice Dentistry in Porcupine, SD
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.