Thomas John Hajek, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M-437 Issued in SD

Practice address

530 Iowa Ave SE
Suite 103
Huron, SD 57350-2864

Phone

(605) 352-3183

Fax

(605) 352-3170

NPI assigned

Oct 26, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Abigail Faul, DDS PC

  dba Prairie Smiles Family Dentistry

  • General Practice Dentistry
  • Huron, SD
  • NPI 1427469717
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1467537894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 IOWA AVE SE",
            "address_2": "SUITE 103",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502864",
            "telephone_number": "605-352-3183",
            "fax_number": "605-352-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 IOWA AVE SE",
            "address_2": "SUITE 103",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573502864",
            "telephone_number": "605-352-3183",
            "fax_number": "605-352-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJEK",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M-437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804060",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSENCE",
            "identifier": "M-437",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belinda K Grave, CCDC III
• Galen Aldean Grove, CCDC-IIIR
• Sallianne Gunderson, B.S.
• Cy B Haatvedt, M.D.
• Hailey Alexis Haber
• Amy Hall
• Hartman Physical Therapy Inc
• Alexander Hartman
• Shane Michael Hartman, MPT
• Health Quest Inc (SunQuest Healthcare Center)

• General Practice Dentistry in Huron, SD
• Providers in Huron, 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 Mar 7, 2023; 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.