NPIMap

Organization Active NPI

Usd Dental Clinic

  • Dental Clinic/Center
  • Sioux Falls, SD
National Provider Identifier
1376790626
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D0802 Issued in SD
Legal business name
USD DENTAL CLINIC
Practice address
521 N Main Ave
Suite 202
Sioux Falls, SD 57104-5948
Phone
(605) 367-8046
Fax
(605) 677-8048
NPI assigned
Aug 19, 2008
Organization subpart
Yes
Parent organization
USD DENTAL HYGIENE OF VERMILLIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Ann Brunick, PROFESSOR
Title
Department Chairperson
Phone
(605) 677-5580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D0802 SD Primary

Addresses

Primary practice location

521 N Main Ave
Suite 202
Sioux Falls, SD 57104-5948

Mailing address

521 N Main Ave
Suite 202
Sioux Falls, SD 57104-5948
Phone (605) 367-8046

National Provider Directory

National Provider Directory
Tax ID family
SD Dept of HLTH Dba CHI35 organizations share this tax ID, including this one
Part of
SD Dept of HLTH Dba CHI

Other organizations with this tax ID 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1376790626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N MAIN AVE",
            "address_2": "SUITE 202",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045948",
            "telephone_number": "605-367-8046",
            "fax_number": "605-677-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N MAIN AVE",
            "address_2": "SUITE 202",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045948",
            "telephone_number": "605-367-8046",
            "fax_number": "605-677-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USD DENTAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "USD DENTAL HYGIENE OF VERMILLION",
        "enumeration_date": "2008-08-19",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "BRUNICK",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "DEPARTMENT CHAIRPERSON",
        "authorized_official_telephone_number": "605-677-5580",
        "authorized_official_credential": "PROFESSOR"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SD",
            "license": "D0802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.