Devan Marie Donnelly, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS-09537 Issued in IA

Practice address

109 E Main St
Elk Point, SD 57025-2310

Phone

(605) 356-2271

NPI assigned

May 29, 2018

Last updated

Feb 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• The Dentist at Elk Point, PC

  • Dental Clinic/Center
  • Elk Point, SD
  • NPI 1356819718
  NPD
• Craig N Burhoop DDS PC

  dba Lakeport Dental Care

  • Dental Clinic/Center
  • Sioux City, IA
  • NPI 1184191678
  NPD (past)

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1669963369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "ELK POINT",
            "state": "SD",
            "postal_code": "570250368",
            "telephone_number": "605-356-2271",
            "fax_number": "712-276-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E MAIN ST",
            "city": "ELK POINT",
            "state": "SD",
            "postal_code": "570252310",
            "telephone_number": "605-356-2271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3434 S Lakeport St",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511064509",
            "country_code": "US",
            "telephone_number": "712-276-8391",
            "fax_number": "712-276-8403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "DEVAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-29",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherrie Allgrunn, SLPMACCC
• Kirstin Carlson
• Vicki S Diede-Kay, RDMS
• Elk Point Ambulance District
• Elk Point Community Ambulance Service
• Elk Point Community Ambulance Service (Elk Point Community Ambulance)
• Elk Point Healthcare #2, LLC (WEL-Life Assisted Living at Elk Point)
• Elk Point Jefferson School Dist

• General Practice Dentistry in Elk Point, SD
• Providers in Elk Point, 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 Feb 9, 2023; 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.