Organization Active NPI

Kappenman Dental Clinic LTD

  • General Practice Dentistry
  • Sioux Falls, SD
National Provider Identifier
1669607719
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
M693 Issued in SD
Legal business name
KAPPENMAN DENTAL CLINIC LTD
Practice address
5704 W 41St St
Sioux Falls, SD 57106-1011
Phone
(605) 361-9288
Fax
(605) 361-1909
NPI assigned
May 19, 2009
Last updated
May 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Authorized official

Name
Dr. Jay KappenmanNPI 1437255940
Title
Dentist
Phone
(605) 361-9288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X M693 SD Primary
General Practice Dentistry 1223G0001X M791 SD

Addresses

Primary practice location

5704 W 41St St
Sioux Falls, SD 57106-1011

Mailing address

5704 W 41St St
Sioux Falls, SD 57106-1011
Phone (605) 361-9288

National Provider Directory

National Provider Directory

Locations

5704 W 41st St
Sioux Falls, SD 57106
Phone (605) 361-9288

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1669607719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 W 41ST ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061011",
            "telephone_number": "605-361-9288",
            "fax_number": "605-361-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5704 W 41ST ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061011",
            "telephone_number": "605-361-9288",
            "fax_number": "605-361-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPPENMAN DENTAL CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "KAPPENMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "605-361-9288",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M693",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M791",
            "primary": false
        }
    ],
    "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 May 19, 2009; 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.