Individual provider Active NPI

Melissa J Rupert, D.D.S.

  • Dentist
  • Hill City, SD
National Provider Identifier
1558744946
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D1086 Issued in SD
Practice address
557 E Main St
Hill City, SD 57745-8905
Phone
(605) 574-2161
Fax
(844) 800-1950
NPI assigned
Jul 2, 2015
Last updated
Jul 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D1086 SD Primary

Addresses

Primary practice location

557 E Main St
Hill City, SD 57745-8905

Mailing address

557 E Main St
PO Box 902
Hill City, SD 57745-8905
Phone (605) 574-2161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160823001391 SD Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1153616636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1558744946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 E MAIN ST",
            "address_2": "PO BOX 902",
            "city": "HILL CITY",
            "state": "SD",
            "postal_code": "577458905",
            "telephone_number": "605-574-2161",
            "fax_number": "844-800-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 E MAIN ST",
            "city": "HILL CITY",
            "state": "SD",
            "postal_code": "577458905",
            "telephone_number": "605-574-2161",
            "fax_number": "844-800-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPERT",
        "first_name": "MELISSA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "D1086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hill City, SD

Sources for this page

Verify at the official NPI Registry.