Active NPI
Thomas A Schmanski, DDS
- General Practice Dentistry
- Rapid City, SD
National Provider Identifier
1477620714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- M-618
- Practice address
- 700 Sheridan Lake Rd
Rapid City, SD 57702-2407 - Phone
- (605) 341-3068
- Fax
- (605) 341-5757
- NPI assigned
- Nov 30, 2006
- Last updated
- Mar 16, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5118 | NE | |
| General Practice Dentistry | 1223G0001X | M-618 | SD | Primary |
Addresses
Primary practice location
700 Sheridan Lake Rd
Rapid City, SD 57702-2407
Mailing address
24369 Rushmore Ranch Rd
Keystone, SD 57751-6633
Phone (605) 430-3819
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-618 | SD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Plains Tribal Chairmen's Health Board | Current | Accepting new patients | |
| Black Hills Pediatric Dentistry | Past | Accepting new patients | |
| Black Hills Pediatric Dentistry | Past | Accepting new patients |
Locations
3200 Canyon Lake Dr
Rapid City, SD 57702
Phone (605) 355-2282
3200 Canyon Lake Dr
Ste 1
Rapid City, SD 57702
Phone (605) 355-2500
Organizations & group practices 3
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.
-
dba Oyate Health Center
- Pharmacy
- Rapid City, SD
- NPI 1376105452
TX
-
- Pediatric Dentistry
- Rapid City, SD
- NPI 1194867499
-
- Community Health Worker
- Rapid City, SD
- NPI 1538889738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1477620714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24369 RUSHMORE RANCH RD",
"city": "KEYSTONE",
"state": "SD",
"postal_code": "577516633",
"telephone_number": "605-430-3819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SHERIDAN LAKE RD",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577022407",
"telephone_number": "605-341-3068",
"fax_number": "605-341-5757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMANSKI",
"first_name": "THOMAS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "5118",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SD",
"license": "M-618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.