Devyn Jean Prodoehl

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1321 Issued in SD

Practice address

401 Prairie Ave SW
De Smet, SD 57231-2333

Phone

(605) 854-3444

NPI assigned

Jul 21, 2021

Last updated

Jul 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1568035160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 SUNNYVIEW DR",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570064280",
            "telephone_number": "605-695-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PRAIRIE AVE SW",
            "city": "DE SMET",
            "state": "SD",
            "postal_code": "572312333",
            "telephone_number": "605-854-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRODOEHL",
        "first_name": "DEVYN",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D1321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Jane Nilsen, RPH
• Anne Marie Nopens
• Franchesca Annemarie Opoku-Kusi, DC
• Jennifer Osvog
• Lisa Petersen
• Sanford Medical Center (Lewis Family Drug 68)
• Shinamerica (Ulti Med)
• Rhonda Siver
• Angela Steffensen
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Home Health of DeSmet)

• General Practice Dentistry in De Smet, SD
• Providers in De Smet, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.