Flandreau Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FLANDREAU DENTAL

Practice address

406 W Pipestone Ave
Flandreau, SD 57028-1617

Phone

(605) 997-3732

NPI assigned

Jun 5, 2018

Last updated

Jun 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Ford

Title

Owner

Phone

(320) 247-0953

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1366934408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10955 ANGLER TRL",
            "city": "GREY EAGLE",
            "state": "MN",
            "postal_code": "563364766",
            "telephone_number": "320-247-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W PIPESTONE AVE",
            "city": "FLANDREAU",
            "state": "SD",
            "postal_code": "570281617",
            "telephone_number": "605-997-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLANDREAU DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-247-0953"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Empres at Flandreau, LLC
• Abbie Lynn Entringer, CNP
• David Kenneth Erickson, M.D.
• Maurin Kay Fisher, MS, RD, LN
• Flandreau Chiropractic Clinic, P.C.
• Flandreau Healthcare 2, LLC
• Flandreau Healthcare, LLC
• Flandreau Independent Living, LLC
• Flandreau Santee Sioux Tribe
• Flandreau Santee Sioux Tribe (Flandreau Santee Sioux Tribal Health Clinic Pharmacy)

• General Practice Dentistry in Flandreau, SD
• Providers in Flandreau, 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 5, 2018; 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.