Delta Dental of South Dakota Foundation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DELTA DENTAL OF SOUTH DAKOTA FOUNDATION

Doing business as

Molar 1

Practice address

804 N Euclid Ave
Ste 1
Pierre, SD 57501-1719

Phone

(605) 224-7345

Fax

(605) 224-0909

NPI assigned

Jan 4, 2008

Organization subpart

No

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

Authorized official

Name

Connie Halverson

Title

VP of Public Benefit

Phone

(605) 494-2547

Specialties & licenses 1

Addresses

Other names 1

• Molar 1 Doing business as

Tax ID family

Delta Dental of South Dakota Foundation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Delta Dental of South Dakota Foundation

  • Dental Clinic/Center
  • Pierre, SD
  • NPI 1023414125
  NPD tax ID
• Delta Dental of South Dakota Foundation

  • Dental Clinic/Center
  • Pierre, SD
  • NPI 1124363957
  NPD tax ID
• Delta Dental of South Dakota Foundation

  • Community Health Worker
  • Pierre, SD
  • NPI 1225731821
  NPD tax ID

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1689859977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N EUCLID AVE STE 1",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575011738",
            "telephone_number": "605-494-2547",
            "fax_number": "605-224-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N EUCLID AVE",
            "address_2": "STE 1",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575011719",
            "telephone_number": "605-224-7345",
            "fax_number": "605-224-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA DENTAL OF SOUTH DAKOTA FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "HALVERSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "VP OF PUBLIC BENEFIT",
        "authorized_official_telephone_number": "605-494-2547"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molar 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Marie De Santis, COA
• Morgan Leigh Deaver, AUD
• Delta Dental of South Dakota Foundation
• Delta Dental of South Dakota Foundation
• Delta Dental of South Dakota Foundation
• Amanda Demory
• Dentistry at the St. Charles LLC
• Diagnostic Technical Services LLC
• Douglas C. Beemer, O.D., P.C.
• Teddi Liane Dowling

• Dental Clinic/Center in Pierre, SD
• Providers in Pierre, 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 Feb 14, 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.