NPIMap

Organization Active NPI

SD Specialty Dental Services, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rapid City, SD
National Provider Identifier
1679393532
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SD SPECIALTY DENTAL SERVICES, LLC
Practice address
1165 Eglin St Ste 200
Rapid City, SD 57701-9634
Phone
(605) 717-2722
NPI assigned
Oct 15, 2024
Organization subpart
Yes
Parent organization
SD SPECIALTY DENTAL SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Charlotte Dasch
Title
Direc of Cred and Prov Rel
Phone
(504) 638-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1165 Eglin St Ste 200
Rapid City, SD 57701-9634

Mailing address

1610 54TH Ave N Ste 205
Nashville, TN 37209-1442
Phone (615) 678-0759

Other practice location 1

2620 Jackson Blvd Ste A
Rapid City, SD 57702-3478
Phone (605) 343-1500

Other practice location 2

220 Ryan Rd
Spearfish, SD 57783-1211
Phone (605) 717-2722

Other names 1

  • Meyer & Dana Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SD Specialty Dental Services LLC6 organizations share this tax ID, including this one
Part of
SD Specialty Dental Services LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1165 Eglin St
Ste 200
Rapid City, SD 57701
Phone (605) 646-7930

220 Ryan Rd
Spearfish, SD 57783
Phone (605) 717-2722

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1679393532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 54TH AVE N STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091442",
            "telephone_number": "615-678-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 EGLIN ST STE 200",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577019634",
            "telephone_number": "605-717-2722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 Jackson Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577023478",
            "country_code": "US",
            "telephone_number": "605-343-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Ryan Rd",
            "address_purpose": "LOCATION",
            "city": "Spearfish",
            "state": "SD",
            "postal_code": "577831211",
            "country_code": "US",
            "telephone_number": "605-717-2722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SD SPECIALTY DENTAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SD SPECIALTY DENTAL SERVICES, LLC",
        "enumeration_date": "2024-10-15",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "DASCH",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "DIREC OF CRED AND PROV REL",
        "authorized_official_telephone_number": "504-638-0303"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meyer & Dana Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Meyer & Dana Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.