NPIMap

Organization Active NPI

Stone Northern Hills Dental

  • General Practice Dentistry
  • Lead, SD
National Provider Identifier
1508252503
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D0823 Issued in SD
Legal business name
STONE NORTHERN HILLS DENTAL
Practice address
82 Dunmire Dr
Lead, SD 57754-1012
Phone
(605) 584-2983
Fax
(605) 571-2983
NPI assigned
Apr 7, 2015
Last updated
Apr 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Amy Rogers
Title
Financial Coordinator
Phone
(605) 584-2983

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X M456 SD
General Practice Dentistry 1223G0001X D0823 SD Primary

Addresses

Primary practice location

82 Dunmire Dr
Lead, SD 57754-1012

Mailing address

82 Dunmire Dr
Lead, SD 57754-1012
Phone (605) 584-2983

National Provider Directory

National Provider Directory

Locations

82 Dunmire Dr
Lead, SD 57754
Phone (605) 584-2983

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": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1508252503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 DUNMIRE DR",
            "city": "LEAD",
            "state": "SD",
            "postal_code": "577541012",
            "telephone_number": "605-584-2983",
            "fax_number": "605-571-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 DUNMIRE DR",
            "city": "LEAD",
            "state": "SD",
            "postal_code": "577541012",
            "telephone_number": "605-584-2983",
            "fax_number": "605-571-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE NORTHERN HILLS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "605-584-2983"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M456",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D0823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lead, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.