NPIMap

Organization Active NPI

St.Francis Mission Dental Clinic

  • Dental Clinic/Center
  • St.Francis, SD
National Provider Identifier
1285073742
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
M839 Issued in SD
Legal business name
ST.FRANCIS MISSION DENTAL CLINIC
Practice address
350 Oak St.
St.Francis, SD 57572
Phone
(605) 747-2142
NPI assigned
Jun 18, 2013
Organization subpart
Yes
Parent organization
ST.FRANICS MISSIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
John Kharouf, DDS
Title
Dentist
Phone
(605) 747-2142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X M839 SD Primary

Addresses

Primary practice location

350 Oak St.
St.Francis, SD 57572

Mailing address

350 Oak St.
St.Francis, SD 57572
Phone (605) 747-2142

National Provider Directory

National Provider Directory
Tax ID family
Stfrancis Mission Dental Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1285073742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 OAK ST.",
            "city": "ST.FRANCIS",
            "state": "SD",
            "postal_code": "57572",
            "telephone_number": "605-747-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 OAK ST.",
            "city": "ST.FRANCIS",
            "state": "SD",
            "postal_code": "57572",
            "telephone_number": "605-747-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.FRANCIS MISSION DENTAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST.FRANICS MISSION",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "KHAROUF",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "605-747-2142",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SD",
            "license": "M839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.