Active NPI
Paige Elizabeth Elwood, D.D.S.
- Dentist
- Yankton, SD
National Provider Identifier
1174759864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D0907
- Practice address
- 232 Capitol St
Yankton, SD 57078-4427 - Phone
- (605) 665-7476
- NPI assigned
- Jun 8, 2009
- Last updated
- Jun 8, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D0907 | SD | Primary |
Addresses
Primary practice location
232 Capitol St
Yankton, SD 57078-4427
Mailing address
232 Capitol St
Yankton, SD 57078-4427
Phone (605) 665-7476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150624003068 | SD | Order and Referring Only - Oral Surgery | 4284945767 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0907 | SD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawd Downtown Dental P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Yankton, SD
- NPI 1801938030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244419200000",
"number": "1174759864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 CAPITOL ST",
"city": "YANKTON",
"state": "SD",
"postal_code": "570784427",
"telephone_number": "605-665-7476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 CAPITOL ST",
"city": "YANKTON",
"state": "SD",
"postal_code": "570784427",
"telephone_number": "605-665-7476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELWOOD",
"first_name": "PAIGE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-08",
"last_updated": "2009-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SD",
"license": "D0907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yankton, SD
- Elizabeth Kemper Eggers, MSN, FNP-C
- Amy M Eichfeld, MD
- Will R Eidsness, M.D.
- Cindy Ellefson
- Elwood Family Dental Care PC (Elwood Family Dental Care)
- Tracie Erdmann, LPC, NCC, QMHP
- Gregory Scott Erickson, MD
- Richard Eugene Erickson II, PHARMACIST
- Matthew James Erlandson, D.C.
- McKenzie Rae Erlandson, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.