NPIMap

Organization Active NPI

Chris Dickes Family Dentistry, Prof. LLC

  • General Practice Dentistry
  • Sioux Falls, SD
National Provider Identifier
1700259496
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D0519 Issued in SD
Legal business name
CHRIS DICKES FAMILY DENTISTRY, PROF. LLC
Practice address
1704 S Cleveland Ave
Suite 4
Sioux Falls, SD 57103-3903
Phone
(605) 660-8409
NPI assigned
Nov 4, 2015
Organization subpart
Yes
Parent organization
CHRIS DICKES FAMILY DENTISTRY, PROF. LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Dr. Christopher D Dickes, DDSNPI 1619949112
Title
Dentist
Phone
(605) 376-7256

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D0519 SD Primary

Addresses

Primary practice location

1704 S Cleveland Ave
Suite 4
Sioux Falls, SD 57103-3903

Mailing address

1000 W 4TH St
Suite 2
Yankton, SD 57078-3700
Phone (605) 660-8409

National Provider Directory

National Provider Directory
Tax ID family
Chris Dickes Dentistry Prof LLC2 organizations share this tax ID, including this one
Part of
Chris Dickes Dentistry Prof LLC

Other organizations with this tax ID 1

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

Locations

1704 S Cleveland Ave
Ste 4
Sioux Falls, SD 57103
Phone (605) 331-5656

Practitioners & affiliated clinicians

Practitioners 1

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": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1700259496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 4TH ST",
            "address_2": "SUITE 2",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783700",
            "telephone_number": "605-660-8409",
            "fax_number": "605-665-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 S CLEVELAND AVE",
            "address_2": "SUITE 4",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571033903",
            "telephone_number": "605-660-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS DICKES FAMILY DENTISTRY, PROF. LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRIS DICKES FAMILY DENTISTRY, PROF. LLC",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "DICKES",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "605-376-7256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D0519",
            "primary": true
        }
    ],
    "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 Nov 4, 2015; 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.