Shawd Downtown Dental P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M996 Issued in SD

Legal business name

SHAWD DOWNTOWN DENTAL P.C.

Practice address

232 Capitol St
Yankton, SD 57078-4427

Phone

(605) 665-7476

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Lane Bakke III, D.D.S.NPI 1669464095

Title

Employee Dentist

Phone

(605) 665-7476

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Bakke, DDS

  • Dentist
  • Yankton, SD
  • NPI 1669464095
  NPD (past) Authorized official
• Paige Elizabeth Elwood, D.D.S.

  • Dentist
  • Yankton, SD
  • NPI 1174759864
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801938030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 CAPITOL ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784427",
            "telephone_number": "605-665-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 CAPITOL ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784427",
            "telephone_number": "605-665-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWD DOWNTOWN DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKKE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "EMPLOYEE DENTIST",
        "authorized_official_telephone_number": "605-665-7476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Beth Scott, D.D.S.
• SD Department of Corrections Pharmacy
• SD Human Services Center
• Amanda Sedlacek, DO
• Luke C Serck, MD
• Alesha Shoemate
• Sarah V Shortbull
• Sherlon Orin Sinclair, M.D.
• Lindy Slagle
• Richard Slattery

• General Practice Dentistry in Yankton, SD
• Providers in Yankton, SD by specialty
• General Practice Dentistry in South Dakota

• 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.