Organization Active NPI

Black Hills Sleep & TMJ Solutions

  • General Practice Dentistry
  • Rapid City, SD
National Provider Identifier
1215544333
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BLACK HILLS SLEEP & TMJ SOLUTIONS
Practice address
2001 Hope CT Ste 4
Rapid City, SD 57701-1055
Phone
(605) 718-0155
Fax
(605) 626-8568
NPI assigned
Sep 24, 2020
Last updated
Feb 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Brian CrissNPI 1881601441
Title
Owner
Phone
(605) 718-0155

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2001 Hope CT Ste 4
Rapid City, SD 57701-1055

Mailing address

2001 Hope CT Ste 4
Rapid City, SD 57701-1055
Phone (605) 718-0155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201228002347 SD DME Supplier - Oral Surgery - Dentist 7810300449 Practice locations: Rapid City, SD
O20240129001411 SD Part B Supplier - Clinic/Group Practice 7810300449 Receives reassigned benefits from 1 practitioner
Practice locations: Rapid City, SD

National Provider Directory

National Provider Directory

Locations

1687 Tablerock Rd
Rapid City, SD 57701
Phone (605) 342-6652

2001 Hope Ct
Ste 4
Rapid City, SD 57701
Phone (605) 718-0155

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1215544333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 HOPE CT STE 4",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011055",
            "telephone_number": "605-718-0155",
            "fax_number": "605-626-8568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 HOPE CT STE 4",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011055",
            "telephone_number": "605-718-0155",
            "fax_number": "605-626-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HILLS SLEEP & TMJ SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2024-02-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "CRISS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-718-0155"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.