Organization Active NPI

Vermillion Dental Health

  • Dentist
  • Vermillion, SD
National Provider Identifier
1417070624
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
M608 Issued in SD
Legal business name
VERMILLION DENTAL HEALTH
Practice address
11 Court St
Vermillion, SD 57069-3056
Phone
(605) 624-2869
NPI assigned
Apr 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Joshua Brower, DDS
Title
Owner
Phone
(605) 624-8695

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X M872 SD
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X M608 SD Primary

Addresses

Primary practice location

11 Court St
Vermillion, SD 57069-3056

Mailing address

11 Court St
Vermillion, SD 57069-3056
Phone (605) 624-2869

National Provider Directory

National Provider Directory

Locations

11 Court St
Vermillion, SD 57069
Phone (605) 624-2869

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417070624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 COURT ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693056",
            "telephone_number": "605-624-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COURT ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570693056",
            "telephone_number": "605-624-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMILLION DENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-624-8695",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SD",
            "license": "M872",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SD",
            "license": "M608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermillion, 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.