Organization Active NPI

Orthodontic,LTD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sioux Falls, SD
National Provider Identifier
1407074586
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
M406 Issued in SD
Legal business name
ORTHODONTIC,LTD
Practice address
600 W 37TH St
Sioux Falls, SD 57105-5601
Phone
(605) 335-6665
Fax
(605) 332-5510
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Donald A Drake, DDSMSD
Title
Owner
Phone
(605) 335-6665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X M406 SD Primary

Addresses

Primary practice location

600 W 37TH St
Sioux Falls, SD 57105-5601

Mailing address

600 W 37TH St
Sioux Falls, SD 57105-5601
Phone (605) 335-6665

National Provider Directory

National Provider Directory

Locations

600 W 37th St
Sioux Falls, SD 57105
Phone (605) 274-6436

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407074586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 37TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055601",
            "telephone_number": "605-335-6665",
            "fax_number": "605-332-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 37TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571055601",
            "telephone_number": "605-335-6665",
            "fax_number": "605-332-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-335-6665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDSMSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SD",
            "license": "M406",
            "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 22, 2020; 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.