Organization Active NPI

Harrisburg Family Dental LLC

  • General Practice Dentistry
  • Harrisburg, SD
National Provider Identifier
1558972745
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HARRISBURG FAMILY DENTAL LLC
Practice address
225 N. Cliff Ave
Suite 2
Harrisburg, SD 57032
Phone
(605) 213-1230
NPI assigned
Aug 12, 2020
Last updated
Aug 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Seth Thomas SchroederNPI 1942739776
Title
Owner/Dentist
Phone
(605) 660-6753

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

225 N. Cliff Ave
Suite 2
Harrisburg, SD 57032

Mailing address

27766 SD Highway 11
Canton, SD 57013-5528

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address harrisburgfamilydental@outlook.com

National Provider Directory

National Provider Directory

Locations

225 N Cliff Ave
Ste 2
Harrisburg, SD 57032
Phone (605) 213-1230

Practitioners & affiliated clinicians

Practitioners 2

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": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1558972745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27766 SD HIGHWAY 11",
            "city": "CANTON",
            "state": "SD",
            "postal_code": "570135528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N. CLIFF AVE",
            "address_2": "SUITE 2",
            "city": "HARRISBURG",
            "state": "SD",
            "postal_code": "57032",
            "telephone_number": "605-213-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISBURG FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "605-660-6753"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "harrisburgfamilydental@outlook.com",
            "affiliation": "N",
            "address_1": "225 N. Cliff Ave",
            "address_2": "Suite 2",
            "city": "Harrisburg",
            "state": "SD",
            "country_code": "US",
            "postal_code": "57032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.