Crist & Wenade Orthodontics Prof. LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

M842 Issued in SD

Legal business name

CRIST & WENADE ORTHODONTICS PROF. LLC

Practice address

3500 S Marion Rd
Sioux Falls, SD 57106-1370

Phone

(605) 361-0016

Fax

(605) 361-0019

NPI assigned

May 3, 2011

Last updated

May 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ross L Crist, DDS,MA,MS

Title

Ceo

Phone

(605) 361-0016

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1235421702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 S MARION RD",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061370",
            "telephone_number": "605-361-0016",
            "fax_number": "605-361-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S MARION RD",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061370",
            "telephone_number": "605-361-0016",
            "fax_number": "605-361-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIST & WENADE ORTHODONTICS PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "CRIST",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-361-0016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MA,MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SD",
            "license": "M842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Crevier, RN
• Pierce Crevier
• Jennifer Lynn Crisp-Griebel, MS, OTR
• Katie M Crisp, DNP
• Meggan Crisp, BSN, RN, MSN, FNP-C
• Cristina Buus Counseling LLC
• Sam Critzer, MD-PHD
• Tammy Jean Crofutt, CNP
• David Crolius, PHARM D, RPH
• Cathleen Anne Cronk, CSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.