Stephen Dale Gullings, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M497 Issued in SD

Practice address

205 E 4TH Ave
Mitchell, SD 57301-2605

Phone

(605) 996-2411

Fax

(605) 996-2411

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chris Dickes Dentistry Prof LLC

  • General Practice Dentistry
  • Sioux Falls, SD
  • NPI 1023417417
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1609896349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E. 4TH AVE.",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012605",
            "telephone_number": "605-996-2411",
            "fax_number": "605-996-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 4TH AVE",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012605",
            "telephone_number": "605-996-2411",
            "fax_number": "605-996-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLINGS",
        "first_name": "STEPHEN",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803132",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Dawn Grieve, O.D.
• Gronsten-Maier Dental Prof. LLC
• Cody Eugene Gronsten
• Clayton J. Gropper, ATC
• Alahna Elizabeth Gross, CNP
• Tanya Hagen-Lee, CNP
• Christopher Haiar
• Michael Dennis Haley, MD
• Michael S Haley Jr., MD
• Amanda Hamburg

• General Practice Dentistry in Mitchell, SD
• Providers in Mitchell, 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 12, 2012; 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.