Charles F Scanlon II DDS MSD PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

CHARLES F SCANLON II DDS MSD PC

Doing business as

West River Periodontics and Implant Dentistry

Practice address

1761 Tablerock Rd
Rapid City, SD 57701-5595

Phone

(605) 721-1111

Fax

(605) 721-1141

NPI assigned

Oct 6, 2020

Last updated

Oct 6, 2020By 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

Mrs. Kelsey T Lowe

Title

Receptionist

Phone

(605) 721-1111

Specialties & licenses 1

Addresses

Other names 1

• West River Periodontics and Implant Dentistry Doing business as

Locations

Practitioners 3

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.

• Emilee Goldy

  • Dental Hygienist
  • Rapid City, SD
  • NPI 1093671794
  NPD
• Charles F. Scanlon II, D.D.S., MSD

  • Periodontics
  • Rapid City, SD
  • NPI 1568611374
  NPD
• Mark Allen Terry, DDS

  • Periodontics
  • Rapid City, SD
  • NPI 1114225661
  NPD

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1669079257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 TABLEROCK RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577015595",
            "telephone_number": "605-721-1111",
            "fax_number": "605-721-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 TABLEROCK RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577015595",
            "telephone_number": "605-721-1111",
            "fax_number": "605-721-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES F SCANLON II DDS MSD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "605-721-1111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West River Periodontics and Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Becky A Cermak, ACUPUNCTURIST
• Chad M. Carpenter DDS
• Tarah Chamberlain, D.O.
• Catherine Chandler
• Barbara Chapman, LPC-MH
• Yvonne Jean Chase, CSW
• Chelan Counseling, LLC
• Kristen Michelle Chew, DO
• Masaru Chiba, MD
• Children's Care Hospital and School

• Periodontics in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Periodontics in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.