NPIMap

Organization Active NPI

Ray Dental Group, P.a.

  • General Practice Dentistry
  • Rapid City, SD
National Provider Identifier
1720197882
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
M554 Issued in SD
Legal business name
RAY DENTAL GROUP, P.A.
Practice address
110 Minnesota St
Rapid City, SD 57701-6201
Phone
(605) 343-2842
Fax
(605) 343-2829
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Donald E. Leonard, DDSNPI 1588783203
Title
Vice President
Phone
(605) 343-2842

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 M554 SD Primary

Addresses

Primary practice location

110 Minnesota St
Rapid City, SD 57701-6201

Mailing address

110 Minnesota St
Rapid City, SD 57701-6201
Phone (605) 343-2842

National Provider Directory

National Provider Directory

Locations

110 Minnesota St
Rapid City, SD 57701
Phone (605) 343-2842

Practitioners & affiliated clinicians

Practitioners 3

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720197882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MINNESOTA ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016201",
            "telephone_number": "605-343-2842",
            "fax_number": "605-343-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MINNESOTA ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016201",
            "telephone_number": "605-343-2842",
            "fax_number": "605-343-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY DENTAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "605-343-2842",
        "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": "M554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.