Shawd NBD Brandon PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHAWD NBD BRANDON PC

Practice address

117 E Holly Blvd
Brandon, SD 57005-1131

Phone

(605) 582-6522

NPI assigned

Sep 2, 2021

Last updated

Sep 2, 2021By 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

Melissa Ryan

Title

HR Director

Phone

(605) 261-8167

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1689342743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E HOLLY BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051131",
            "telephone_number": "605-582-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E HOLLY BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051131",
            "telephone_number": "605-582-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWD NBD BRANDON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "605-261-8167"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.smilesrpriceless.com",
            "affiliation": "N",
            "address_1": "117 E Holly Blvd",
            "city": "Brandon",
            "state": "SD",
            "country_code": "US",
            "postal_code": "570051131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dental Clinic/Center in Brandon, SD
• Providers in Brandon, SD by specialty
• Dental Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.