Organization Active NPI

F. Herbert Wiswall, D.D.S., P.C.

  • General Practice Dentistry
  • Watertown, SD
National Provider Identifier
1205959665
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
M368 Issued in SD
Legal business name
F. HERBERT WISWALL, D.D.S., P.C.
Practice address
600 4TH St NE Ste 201
Watertown, SD 57201-1898
Phone
(605) 886-8096
Fax
(605) 886-1979
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. F. Herbert Wiswall, D.D.S.
Title
Owner
Phone
(605) 886-8096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X M368 SD Primary

Addresses

Primary practice location

600 4TH St NE Ste 201
Watertown, SD 57201-1898

Mailing address

600 4TH St NE Ste 201
Watertown, SD 57201-1898
Phone (605) 886-8096

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205959665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 4TH ST NE STE 201",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572011898",
            "telephone_number": "605-886-8096",
            "fax_number": "605-886-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 4TH ST NE STE 201",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572011898",
            "telephone_number": "605-886-8096",
            "fax_number": "605-886-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F. HERBERT WISWALL, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WISWALL",
        "authorized_official_first_name": "F. HERBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-886-8096",
        "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": "M368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.