Lyde J Adams DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D1012 Issued in SD

Legal business name

LYDE J ADAMS DDS INC

Doing business as

Black Hills Endodontics

Practice address

2525 W Main St
Suite 206
Rapid City, SD 57702-0901

Phone

(605) 348-4868

Fax

(605) 737-7870

NPI assigned

Oct 14, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Lyde J Adams, DDS

Title

Pres/Ceo

Phone

(605) 348-4868

Specialties & licenses 1

Addresses

Other names 1

• Black Hills Endodontics Doing business as

Tax ID family

Black Hills Endodontic Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lyde J. Adams, D.D.S. Inc.

  • Endodontics
  • Rapid City, SD
  • NPI 1023436276
  NPD tax ID

Locations

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1720416506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST",
            "address_2": "SUITE 206",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020901",
            "telephone_number": "605-348-4868",
            "fax_number": "605-737-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W MAIN ST",
            "address_2": "SUITE 206",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020901",
            "telephone_number": "605-348-4868",
            "fax_number": "605-737-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYDE J ADAMS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "LYDE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "605-348-4868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SD",
            "license": "D1012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black Hills Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Lundquist, RBT
• Lundstrom Chiropractic, P.C.
• Haley Lupher
• Sarah Ann Lux, CSW-PIP, LCSW
• Lycia C. Thornburg, M.D., P.C.
• Lyde J. Adams, D.D.S. Inc.
• Edward Joseph Lynch, DDS
• Rob Dean Lyons, DDS
• Kelly Lytle, DDS
• M & D Enterprises PC

• Dental Clinic/Center in Rapid City, SD
• Providers in Rapid City, 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 Jul 8, 2014; 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.