Kimberly Trask, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D0967 Issued in SD

Practice address

113 Comanche Rd
Fort Meade, SD 57741-1002

Phone

(605) 720-7131

NPI assigned

May 5, 2011

Last updated

Sep 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kimberly a. Trask, D.D.S., Prof. L.L.C.

  • Dentist
  • Philip, SD
  • NPI 1518542927
  NPD Authorized official
• Dell Rapids Dental

  • General Practice Dentistry
  • Dell Rapids, SD
  • NPI 1457843591
  NPD (past)
• Ford Management Services LLC

  • Dentist
  • Dell Rapids, SD
  • NPI 1093207193
  NPD (past)

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1184916454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21355 ELM SPRINGS RD",
            "city": "WASTA",
            "state": "SD",
            "postal_code": "577917805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 COMANCHE RD",
            "city": "FORT MEADE",
            "state": "SD",
            "postal_code": "577411002",
            "telephone_number": "605-720-7131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Dell Rapids",
            "state": "SD",
            "postal_code": "570221508",
            "country_code": "US",
            "telephone_number": "605-428-5471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRASK",
        "first_name": "KIMBERLY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D0967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Thurman, PA-C
• Shannon Tipton, LPN
• Erin Tivis
• Kelly Erin Tobin, CSW-PIP
• Alyssa Rose Tousignant, RN
• Tonia Margaret Turpin Homan
• Brooke Uherka
• Mark A Urban, MA COUNSELING
• Lacey Uttecht, DNP, PMHNP
• VA Black Hills Health Care System

• General Practice Dentistry in Fort Meade, SD
• Providers in Fort Meade, 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 Sep 18, 2019; 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.

Verify at the official NPI Registry.