Chris Diaz-Freed Dental Prof LLC

Primary specialty

DentistTaxonomy code 122300000X

License

D1004 Issued in SD

Legal business name

CHRIS DIAZ-FREED DENTAL PROF LLC

Doing business as

Canton Dental Clinic

Practice address

1110 W 5TH St
Canton, SD 57013-1543

Phone

(605) 987-2721

NPI assigned

Jan 4, 2017

Last updated

Jan 4, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chris J Diaz-Freed, DDS

Title

Dentist

Phone

(605) 987-2721

Specialties & licenses 1

Addresses

Other names 1

• Canton Dental Clinic Doing business as

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1619412384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W 5TH ST",
            "city": "CANTON",
            "state": "SD",
            "postal_code": "570131543",
            "telephone_number": "605-987-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W 5TH ST",
            "city": "CANTON",
            "state": "SD",
            "postal_code": "570131543",
            "telephone_number": "605-987-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS DIAZ-FREED DENTAL PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "DIAZ-FREED",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "605-987-2721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "D1004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canton Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Canton Family Vision Clinic, PC
• Canton Family Vision Clinic, PC
• Canton School District
• Cedar Mobility LLC
• Chad S Lewison, DDS,PC (Dental Implant Group)
• Kelley J Christensen, MSW
• Linda K. Christensen, D.O.
• Jolayn Marie Coquyt, OT
• Crawford Counseling Center
• Ginny Crawford, MSW, CSW-PIP

• Dentist in Canton, SD
• Providers in Canton, SD by specialty
• Dentist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.