Organization Active NPI

Hunstad Top Gum Dental LLC

  • General Practice Dentistry
  • Tea, SD
National Provider Identifier
1497435978
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HUNSTAD TOP GUM DENTAL LLC
Practice address
145 S Main Ave
Tea, SD 57064-2513
Phone
(605) 201-3745
NPI assigned
Jul 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Dr. Clark L Hunstad, DDSNPI 1093024416
Title
Dentist
Phone
(605) 201-3745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

145 S Main Ave
Tea, SD 57064-2513

Mailing address

145 S Main Ave
Tea, SD 57064-2513
Phone (605) 201-3745

Other practice location 1

100 E Sanborn St
Parker, SD 57053-2238
Phone (605) 201-3745

Other names 1

  • Top Gum Dental Doing business as

National Provider Directory

National Provider Directory

Locations

145 S Main Ave
Tea, SD 57064
Phone (605) 201-3745

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1497435978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S MAIN AVE",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570642513",
            "telephone_number": "605-201-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S MAIN AVE",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570642513",
            "telephone_number": "605-201-3745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E Sanborn St",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "SD",
            "postal_code": "570532238",
            "country_code": "US",
            "telephone_number": "605-201-3745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HUNSTAD TOP GUM DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "HUNSTAD",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "605-201-3745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Top Gum Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tea, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.