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
Last updated
Aug 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Dr. Jennifer L.H. Friedman, DDSNPI 1952593360
Title
Owner
Phone
(605) 343-0711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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.