Active NPI
Elwood Family Dental Care PC
- Dental Clinic/Center
- Yankton, SD
National Provider Identifier
1508366147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- D0907
- Legal business name
- ELWOOD FAMILY DENTAL CARE PC
- Practice address
- 311 Walnut St
Yankton, SD 57078-4360 - Phone
- (605) 660-1652
- NPI assigned
- Feb 20, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paige Elwood, DDS
- Title
- Dentist/President
- Phone
- (605) 660-1652
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | D0907 | SD | Primary |
Addresses
Primary practice location
311 Walnut St
Yankton, SD 57078-4360
Mailing address
802 Brentwood Cir
Yankton, SD 57078-5154
Other names 1
- Elwood Family Dental Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519084800000",
"number": "1508366147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 BRENTWOOD CIR",
"city": "YANKTON",
"state": "SD",
"postal_code": "570785154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 WALNUT ST",
"city": "YANKTON",
"state": "SD",
"postal_code": "570784360",
"telephone_number": "605-660-1652"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELWOOD FAMILY DENTAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-20",
"last_updated": "2018-02-20",
"status": "A",
"authorized_official_last_name": "ELWOOD",
"authorized_official_first_name": "PAIGE",
"authorized_official_title_or_position": "DENTIST/PRESIDENT",
"authorized_official_telephone_number": "605-660-1652",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "SD",
"license": "D0907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elwood Family Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yankton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.