NPIMap

Organization Active NPI

Patterson Family Dental Prof LLC

Doing business as Winner Dental Clinic

  • General Practice Dentistry
  • Winner, SD
National Provider Identifier
1780094938
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
TEMO461 Issued in SD
Legal business name
PATTERSON FAMILY DENTAL PROF LLC
Doing business as
Winner Dental Clinic
Practice address
217 Adams St
Winner, SD 57580-1919
Phone
(605) 842-1793
NPI assigned
Apr 28, 2014
Last updated
Apr 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Authorized official

Name
Dr. Frank D Patterson
Title
Owner
Phone
(605) 842-1793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X TEMO461 SD Primary

Addresses

Primary practice location

217 Adams St
Winner, SD 57580-1919

Mailing address

217 Adams St
Winner, SD 57580-1919
Phone (605) 842-1793

Other names 1

  • Winner Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1780094938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 ADAMS ST",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575801919",
            "telephone_number": "605-842-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 ADAMS ST",
            "city": "WINNER",
            "state": "SD",
            "postal_code": "575801919",
            "telephone_number": "605-842-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSON FAMILY DENTAL PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-842-1793",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "TEMO461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winner Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winner, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.