NPIMap

Organization Active NPI

Dental Wellness, Devren Anderson, DDS, PC

  • General Practice Dentistry
  • Sioux Falls, SD
National Provider Identifier
1629685243
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL WELLNESS, DEVREN ANDERSON, DDS, PC
Practice address
6104 S Lyncrest Ave
Sioux Falls, SD 57108-2560
Phone
(605) 274-6191
NPI assigned
Sep 28, 2020
Organization subpart
No

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

6104 S Lyncrest Ave
Sioux Falls, SD 57108
Phone (605) 274-6191

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Cynthia Anderson
Title
Office Manager
Phone
(605) 274-6191

Specialties & licenses 1

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

Addresses

Primary practice location

6104 S Lyncrest Ave
Sioux Falls, SD 57108-2560

Mailing address

6104 S Lyncrest Ave
Sioux Falls, SD 57108-2560
Phone (605) 274-6191

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1629685243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 S LYNCREST AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082560",
            "telephone_number": "605-274-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 S LYNCREST AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082560",
            "telephone_number": "605-274-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL WELLNESS, DEVREN ANDERSON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "605-274-6191"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.