Active NPI
David Rempel, DDS
- General Practice Dentistry
- Sisseton, SD
National Provider Identifier
1164524773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 52774
- Practice address
- 100 Lake Traverse Dr
Sisseton, SD 57262 - Phone
- (605) 698-7606
- Fax
- (605) 742-0182
- NPI assigned
- Sep 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 52774 | CA | Primary |
Addresses
Primary practice location
100 Lake Traverse Dr
Sisseton, SD 57262
Mailing address
11617 Encanto LN
Colton, CA 92324-9737
Phone (909) 240-6079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52774 | Other | CA | STATE DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52774 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527033600000",
"number": "1164524773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11617 ENCANTO LN",
"city": "COLTON",
"state": "CA",
"postal_code": "923249737",
"telephone_number": "909-240-6079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LAKE TRAVERSE DR",
"city": "SISSETON",
"state": "SD",
"postal_code": "57262",
"telephone_number": "605-698-7606",
"fax_number": "605-742-0182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMPEL",
"first_name": "DAVID",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2018-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "52774",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTAL LICENSE",
"identifier": "52774",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sisseton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.