Organization Active NPI

Rapid City Orthodontics PLLC

Doing business as Rapid City Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rapid City, SD
National Provider Identifier
1528645959
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
RAPID CITY ORTHODONTICS PLLC
Doing business as
Rapid City Orthodontics
Practice address
5150 5TH St
Rapid City, SD 57701-6023
Phone
(605) 343-4975
NPI assigned
Mar 24, 2021
Last updated
Apr 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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

Authorized official

Name
Isaac Jahn, MPA
Title
Director of Administration
Phone
(605) 343-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

5150 5TH St
Rapid City, SD 57701-6023

Mailing address

2620 Jackson Blvd Ste a
Rapid City, SD 57702-3478
Phone (605) 343-1500

Other names 1

  • Rapid City Orthodontics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1528645959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 JACKSON BLVD STE A",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577023478",
            "telephone_number": "605-343-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 5TH ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016023",
            "telephone_number": "605-343-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPID CITY ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "JAHN",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "605-343-1500",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rapid City Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 16, 2021; 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.