Shaun Lemmon, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1293 Issued in SD

Practice address

333 West Blvd # 300a
Rapid City, SD 57701-2670

Phone

(605) 343-5415

Fax

(605) 718-8536

NPI assigned

Oct 14, 2020

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1134727969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WEST BLVD # 300A",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012670",
            "telephone_number": "605-343-5415",
            "fax_number": "605-718-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WEST BLVD # 300A",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012670",
            "telephone_number": "605-343-5415",
            "fax_number": "605-718-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMMON",
        "first_name": "SHAUN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D1293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn M Leite, MHRLPC
• Jeanie Lembke
• Stephanie S Lemer, RN
• Thomas Shull Lemire, MD
• Cara Anne Lemmon
• Sarah Lemon, PA-C
• Heather Dawne Lenox, PTA
• Donald E Leonard, DDS
• Veronica L Lesselyoung, PHARM.D.
• Alysia Dayle Lester, D.N.P,, C.N.P

• General Practice Dentistry in Rapid City, SD
• Providers in Rapid City, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.