Kathleen A Sherlock, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M859 Issued in SD

Practice address

717 Main Ave
Brookings, SD 57006-1426

Phone

(605) 692-4715

Fax

(605) 692-2427

NPI assigned

Apr 11, 2007

Last updated

Jul 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Konard O. Hauffe, DDS, PC

  • General Practice Dentistry
  • Brookings, SD
  • NPI 1457493066
  NPD (past)
• North Main Family Dentistry LLC

  • General Practice Dentistry
  • Brookings, SD
  • NPI 1053050336
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1437372950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 MAIN AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061426",
            "telephone_number": "605-692-4715",
            "fax_number": "605-692-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 MAIN AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570061426",
            "telephone_number": "605-692-4715",
            "fax_number": "605-692-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERLOCK",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Self-Care Studio
• Tatiana B Sergeev, MD
• Peggy Flynn Settle-Kenefick, BS, LMT, CMT
• Thomas Rauby Shaffer, PH.D.
• Melissa Shaw
• Marni Elise Shoemaker, RD, LN, CSCS
• Karen I. Sievers, PT
• Sharlay M Sloss, DOULA
• Madelyn Sara Miller Smith, DNP, APRN, FNP-C
• Erin Snaza-Meyer, CNP

• General Practice Dentistry in Brookings, SD
• Providers in Brookings, 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 Jul 22, 2008; 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.