NPIMap

Organization Active NPI

Family & Implant Dentistry, LTD

  • General Practice Dentistry
  • Sioux Falls, SD
National Provider Identifier
1164680484
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
M658 Issued in SD
Legal business name
FAMILY & IMPLANT DENTISTRY, LTD
Practice address
4921 E 26TH St
Suite 1
Sioux Falls, SD 57110-6967
Phone
(605) 371-3443
Fax
(605) 371-3445
NPI assigned
May 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Dr. Edward R Kusek, D.D.S.NPI 1639101991
Title
Dental Practice Owner
Phone
(605) 371-3443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X M658 SD Primary

Addresses

Primary practice location

4921 E 26TH St
Suite 1
Sioux Falls, SD 57110-6967

Mailing address

4921 E 26TH St
Suite 1
Sioux Falls, SD 57110-6967
Phone (605) 371-3443

National Provider Directory

National Provider Directory

Locations

4921 E 26th St
Ste 1
Sioux Falls, SD 57110
Phone (605) 371-3443

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1164680484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 E 26TH ST",
            "address_2": "SUITE 1",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571106967",
            "telephone_number": "605-371-3443",
            "fax_number": "605-371-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 E 26TH ST",
            "address_2": "SUITE 1",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571106967",
            "telephone_number": "605-371-3443",
            "fax_number": "605-371-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY & IMPLANT DENTISTRY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "KUSEK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTAL PRACTICE OWNER",
        "authorized_official_telephone_number": "605-371-3443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.