Reausaw-Wilson, DMD, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D0819 Issued in SD

Legal business name

REAUSAW-WILSON, DMD, P.C.

Doing business as

All About Smiles Valley Dental

Practice address

4215 Berniece St
Rapid City, SD 57703-6410

Phone

(605) 343-6691

Fax

(605) 343-6731

NPI assigned

May 27, 2016

Last updated

Jul 1, 2016By 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

Dr. Sara K Reausaw-Wilson, DMDNPI 1285807214

Title

President

Phone

(605) 786-7789

Specialties & licenses 1

Addresses

Other names 1

• All About Smiles Valley Dental Doing business as

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.

• Sara K Reausaw-Wilson, D.M.D.

  • General Practice Dentistry
  • Rapid City, SD
  • NPI 1285807214
  Authorized official Same address or phone

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1386092674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 BERNIECE ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577036410",
            "telephone_number": "605-343-6691",
            "fax_number": "605-343-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 BERNIECE ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577036410",
            "telephone_number": "605-343-6691",
            "fax_number": "605-343-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAUSAW-WILSON, DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "REAUSAW-WILSON",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-786-7789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SD",
            "license": "D0819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All About Smiles Valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• RC North SD Skilled Nursing Facility LLC (Avantara North)
• Rclalc, LLC
• Rclalc,LLC
• RCSD Anesthesia, LLC
• Blaise Lynn Reagle, LPC
• Sara K Reausaw-Wilson, D.M.D.
• Rebecca Reausaw, NP
• Kilby J Rech, DC
• Red Horse Healing
• Amy Red Owl

• Dental Clinic/Center in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Dental Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.