Modern Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MODERN DENTAL LLC

Practice address

5912 E 18 Street
Sioux Falls, SD 57110

Phone

(605) 261-4697

NPI assigned

Oct 22, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Chris Diaz-Freed, DDS

Title

Owner

Phone

(605) 261-4697

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Christopher J Diaz-Freed, DDS

  • Dentist
  • West Des Moines, IA
  • NPI 1710141726
  NPD

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1265309496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 S QUIET OAK CIR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571084138",
            "telephone_number": "605-261-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5912 E 18 STREET",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57110",
            "telephone_number": "605-261-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "DIAZ-FREED",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-261-4697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275784605",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710141726",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather M Mitzel, CNP
• Lisa Mix, OTR/L
• MK Counseling LLC
• Mobile Sonographers Inc
• Mobility PT
• Amanda Marie Moe, CNM
• Matthew Moe, OD
• Paul D Moe, CRNA
• Megan Elizabeth Moeding, CNP
• Scott E Moeller, LMFT LPCMH

• 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 Oct 22, 2025; 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.