Active NPI
Black Hills Oral Surgery and Dental Implant Center, LLP
- Oral and Maxillofacial Surgery (Dentist)
- Rapid City, SD
National Provider Identifier
1295643252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- BLACK HILLS ORAL SURGERY AND DENTAL IMPLANT CENTER, LLP
- Practice address
- 3415 5TH St
Rapid City, SD 57701-7365 - Phone
- (605) 348-6818
- Fax
- (605) 348-4690
- NPI assigned
- Aug 31, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kari L Simonson
- Title
- Practice Manager
- Phone
- (605) 348-6818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
3415 5TH St
Rapid City, SD 57701-7365
Mailing address
3415 5TH St
Rapid City, SD 57701-7365
Phone (605) 348-6818
Other practice location 1
1230 North Ave Ste 5
Spearfish, SD 57783-1572
Phone (605) 348-6818 ext. 308
Other practice location 2
330 E Stumer Rd
Rapid City, SD 57701-6406
Phone (605) 348-6818 ext. 308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788134400000",
"number": "1295643252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 5TH ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577017365",
"telephone_number": "605-348-6818",
"fax_number": "605-348-4690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 5TH ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577017365",
"telephone_number": "605-348-6818",
"fax_number": "605-348-4690"
}
],
"practiceLocations": [
{
"address_1": "1230 North Ave Ste 5",
"address_purpose": "LOCATION",
"city": "Spearfish",
"state": "SD",
"postal_code": "577831572",
"country_code": "US",
"telephone_number": "605-348-6818 x308",
"fax_number": "605-348-4690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "330 E Stumer Rd",
"address_purpose": "LOCATION",
"city": "Rapid City",
"state": "SD",
"postal_code": "577016406",
"country_code": "US",
"telephone_number": "605-348-6818 x308",
"fax_number": "605-348-4690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BLACK HILLS ORAL SURGERY AND DENTAL IMPLANT CENTER, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A",
"authorized_official_last_name": "SIMONSON",
"authorized_official_first_name": "KARI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "605-348-6818"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rapid City, SD
- Black Hills Neuropsychology LLC
- Black Hills Obstetrics & Gynecology LLC
- Black Hills Obstetrics and Gynecology LLP
- Black Hills Optometry LLC
- Black Hills Oral & Maxillofacial Surgery PC
- Black Hills Orthodontics, Prof. L.L.C.
- Black Hills Orthodontics, Prof. L.L.C.
- Black Hills Orthodontics, Prof. L.L.C.
- Black Hills Orthopedic & Spine Center, Inc.
- Black Hills Orthopedic & Spine Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.