Black Hills Orthodontics, Prof. L.L.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

BLACK HILLS ORTHODONTICS, PROF. L.L.C.

Doing business as

Meyer & Dana Orthodontics

Practice address

1165 Eglin St Ste 200
Rapid City, SD 57701-9634

Phone

(605) 646-7930

NPI assigned

Oct 8, 2024

Last updated

Oct 8, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

BLACK HILLS ORTHODONTICS, PROF. L.L.C.As reported in NPPES

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

Authorized official

Name

Jesse Michael Dana, D.D.S.NPI 1104040872

Title

Vice President/Orthodontist

Phone

(605) 717-2722

Specialties & licenses 1

Addresses

Other names 1

• Meyer & Dana Orthodontics Doing business as

Tax ID family

Black Hills Orthodontics Prof LLC3 organizations share this tax ID, including this one

Part of

Black Hills Orthodontics Prof LLC

Other organizations with this tax ID 2

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

• Black Hills Orthodontics, Prof. L.L.C.

  dba Rapid City Orthodontics

  • Dental Clinic/Center
  • Rapid City, SD
  • NPI 1205393394
  NPD tax ID
• Black Hills Orthodontics, Prof. L.L.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rapid City, SD
  • NPI 1659541225
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Black Hills Orthodontics, Prof. L.L.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rapid City, SD
  • NPI 1659541225
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesse Michael Dana, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Spearfish, SD
  • NPI 1104040872
  NPD (past) Authorized official

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1346069135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 EGLIN ST STE 200",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577019634",
            "telephone_number": "605-646-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 EGLIN ST STE 200",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577019634",
            "telephone_number": "605-646-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK HILLS ORTHODONTICS, PROF. L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLACK HILLS ORTHODONTICS, PROF. L.L.C.",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "DANA",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT/ORTHODONTIST",
        "authorized_official_telephone_number": "605-717-2722",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meyer & Dana Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Black Hills Obstetrics and Gynecology LLP
• Black Hills Optometry LLC (The Eyeglass Studio)
• Black Hills Oral & Maxillofacial Surgery PC
• Black Hills Oral Surgery and Dental Implant Center, LLP
• Black Hills Orthodontics, Prof. L.L.C. (Rapid City Orthodontics)
• Black Hills Orthodontics, Prof. L.L.C.
• Black Hills Orthopedic & Spine Center, Inc.
• Black Hills Orthopedic & Spine Center, Inc.
• Black Hills Orthotics & Prosthetics
• Black Hills Pediatric Dentistry

• Orthodontics and Dentofacial Orthopedics Dentistry in Rapid City, SD
• Providers in Rapid City, 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 Oct 8, 2024; 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.