NPIMap

Organization Active NPI

Family, Cosmetic & Implant Dentistry, DRS. Berdahl & Feiock, P.C.

  • Dentist
  • Sioux Falls, SD
National Provider Identifier
1497956304
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
M911 Issued in SD
Legal business name
FAMILY, COSMETIC & IMPLANT DENTISTRY, DRS. BERDAHL & FEIOCK, P.C.
Practice address
6301 S Minnesota Ave
Suite 100
Sioux Falls, SD 57108-2528
Phone
(605) 332-4751
Fax
(605) 332-5113
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark C Berdahl, D.D.S.NPI 1275563264
Title
President
Phone
(605) 332-4751

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X M911 SD Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X M687 SD

Addresses

Primary practice location

6301 S Minnesota Ave
Suite 100
Sioux Falls, SD 57108-2528

Mailing address

6301 S Minnesota Ave
Suite 100
Sioux Falls, SD 57108-2528
Phone (605) 332-4751

National Provider Directory

National Provider Directory

Locations

6301 S Minnesota Ave
Ste 100
Sioux Falls, SD 57108
Phone (605) 332-4751

Practitioners & affiliated clinicians

Practitioners 7

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497956304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 S MINNESOTA AVE",
            "address_2": "SUITE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082528",
            "telephone_number": "605-332-4751",
            "fax_number": "605-332-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 S MINNESOTA AVE",
            "address_2": "SUITE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082528",
            "telephone_number": "605-332-4751",
            "fax_number": "605-332-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY, COSMETIC & IMPLANT DENTISTRY, DRS. BERDAHL & FEIOCK, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERDAHL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-332-4751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SD",
            "license": "M911",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SD",
            "license": "M687",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.