Organization Active NPI

Spieker Dental, Inc

Doing business as Clark Family Dental Center

  • General Practice Dentistry
  • Clark, SD
National Provider Identifier
1821018243
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
M435 Issued in SD
Legal business name
SPIEKER DENTAL, INC
Doing business as
Clark Family Dental Center
Practice address
415 1St Ave W
Clark, SD 57225-1320
Phone
(605) 532-3636
Fax
(605) 532-3934
NPI assigned
Jul 20, 2006
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. Harvey Dean Spieker, D.D.S.NPI 1104857440
Title
President, Spieker Dental, Inc
Phone
(605) 532-3636

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D0403 SD
General Practice Dentistry 1223G0001X M435 SD Primary

Addresses

Primary practice location

415 1St Ave W
Clark, SD 57225-1320

Mailing address

415 1St Ave W
Clark, SD 57225-1320
Phone (605) 532-3636

Other names 1

  • Clark Family Dental Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1821018243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 1ST AVE W",
            "city": "CLARK",
            "state": "SD",
            "postal_code": "572251320",
            "telephone_number": "605-532-3636",
            "fax_number": "605-532-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 1ST AVE W",
            "city": "CLARK",
            "state": "SD",
            "postal_code": "572251320",
            "telephone_number": "605-532-3636",
            "fax_number": "605-532-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIEKER DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "SPIEKER",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT, SPIEKER DENTAL, INC",
        "authorized_official_telephone_number": "605-532-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D0403",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clark, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.