Shawd NBD 26TH P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D0935 Issued in SD

Legal business name

SHAWD NBD 26TH P.C.

Doing business as

Neighborhood Dental SF 26th

Practice address

5110 W 26TH St
Unit 5
Sioux Falls, SD 57106-3520

Phone

(605) 759-5583

Fax

(605) 339-7682

NPI assigned

Jun 30, 2010

Organization subpart

No

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

Authorized official

Name

Lynn D Olson

Title

HR Manager

Phone

(605) 731-9599

Specialties & licenses 1

Addresses

Other names 1

• Neighborhood Dental SF 26th Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew C Johnson, DDS

  • Dentist
  • Sioux Falls, SD
  • NPI 1457662983
  NPD (past)

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1235440769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 W 26TH ST",
            "address_2": "UNIT 5",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063520",
            "telephone_number": "605-759-5583",
            "fax_number": "605-339-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 W 26TH ST",
            "address_2": "UNIT 5",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063520",
            "telephone_number": "605-759-5583",
            "fax_number": "605-339-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWD NBD 26TH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "HR MANAGER",
        "authorized_official_telephone_number": "605-731-9599"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D0935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood Dental SF 26th",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey Sue Sharpe, D.D.S.
• Mark Shashikant, M.D.
• Cori Shatto
• Brandi L Shaull
• Jessica Marie Shaw-Hayes, D.P.M.
• Shawd NBD P.C.
• Shawd Neighborhood Dental Clinic P.C.
• Nelli Y Shchur, CNP
• Christina Shearer, MASSAGE THERAPIST
• Joanne B Shearer, RD

• General Practice Dentistry in Sioux Falls, SD
• Providers in Sioux Falls, 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 Jun 30, 2010; 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.