Organization Active NPI

Jennifer L.H. Friedman, DDS, PC

  • Dental Clinic/Center
  • Rapid City, SD
National Provider Identifier
1497033872
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D0946 Issued in SD
Legal business name
JENNIFER L.H. FRIEDMAN, DDS, PC
Practice address
1600 Mountain View Rd
Suite 104
Rapid City, SD 57702-4381
Phone
(605) 343-0711
Fax
(605) 343-1842
NPI assigned
Aug 2, 2011
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Jennifer L.H. Friedman, DDS
Title
Owner
Phone
(605) 343-0711

National Provider Directory

National Provider Directory

Locations

1600 Mountain View Rd
Ste 104
Rapid City, SD 57702
Phone (605) 593-0037

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D0946 SD Primary

Addresses

NPPES NPI Registry

Primary practice location

1600 Mountain View Rd
Suite 104
Rapid City, SD 57702-4381

Mailing address

1600 Mountain View Rd
Suite 104
Rapid City, SD 57702-4381
Phone (605) 343-0711

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 2, 2011.

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1497033872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MOUNTAIN VIEW RD",
            "address_2": "SUITE 104",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024381",
            "telephone_number": "605-343-0711",
            "fax_number": "605-343-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MOUNTAIN VIEW RD",
            "address_2": "SUITE 104",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577024381",
            "telephone_number": "605-343-0711",
            "fax_number": "605-343-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER L.H. FRIEDMAN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L.H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-343-0711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SD",
            "license": "D0946",
            "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 Aug 2, 2011; 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.