Active NPI
Jennifer L.H. Friedman, DDS, PC
- Dental Clinic/Center
- Rapid City, SD
National Provider Identifier
1497033872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- D0946
- 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 DirectoryLocations
1600 Mountain View Rd
Ste 104
Rapid City, SD 57702
Phone (605) 593-0037
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | D0946 | SD | Primary |
Addresses
NPPES NPI RegistryPrimary 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.