Organization Active NPI

Freed Dental Prof. L.L.C.

  • Dental Clinic/Center
  • Sioux Falls, SD
National Provider Identifier
1447766100
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D1000 Issued in SD
Legal business name
FREED DENTAL PROF. L.L.C.
Practice address
1709 E 10TH St
Sioux Falls, SD 57103-1805
Phone
(605) 261-5709
NPI assigned
Dec 18, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Megan Joann Diaz-Freed, D.D.S.
Title
Dentist
Phone
(605) 261-5709

National Provider Directory

National Provider Directory

Locations

1709 E 10th St
Sioux Falls, SD 57103
Phone (605) 261-5709

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D1000 SD Primary

Addresses

NPPES NPI Registry

Primary practice location

1709 E 10TH St
Sioux Falls, SD 57103-1805

Mailing address

8604 S Quiet Oak Cir
Sioux Falls, SD 57108-4138
Phone (605) 261-5709

Other names 1

NPPES NPI Registry
  • 10th Street Dental Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 18, 2017.

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1447766100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 S QUIET OAK CIR",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571084138",
            "telephone_number": "605-261-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 E 10TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571031805",
            "telephone_number": "605-261-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREED DENTAL PROF. L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "DIAZ-FREED",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "JOANN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "605-261-5709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SD",
            "license": "D1000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "10th Street Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 18, 2017; 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.