David R Bolton DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M407 Issued in SD

Legal business name

DAVID R BOLTON DDS

Practice address

2005 West 42ND Street
Sioux Falls, SD 57105

Phone

(605) 334-6865

Fax

(605) 334-7611

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

David Richard Bolton, DDSNPI 1336413525

Title

Dentist Owner

Phone

(605) 334-6865

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• David Richard Bolton, D.D.S.

  • General Practice Dentistry
  • Sioux Falls, SD
  • NPI 1336413525
  NPD (past) Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1811031651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 WEST 42ND STREET",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57105",
            "telephone_number": "605-334-6865",
            "fax_number": "605-334-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 WEST 42ND STREET",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57105",
            "telephone_number": "605-334-6865",
            "fax_number": "605-334-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R BOLTON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "605-334-6865",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SD",
            "license": "M407",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingshuk Dasgupta, MD
• Carrie Dau
• Danielle Daughters
• Alicia Daum, PA-C
• Alexa Dautcehajic
• Gerard Roque David, MD
• Theodore Edward Davidson, D.C.
• Andrew Arnold Davies, CNP
• Kaitlin Davies
• Davis Chiropractic Clinic

• General Practice Dentistry in Sioux Falls, SD
• Providers in Sioux Falls, 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 Sep 20, 2011; 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.