Individual provider Active NPI

Joshua Wade Nehring, D.D.S.

  • Periodontics
  • Rapid City, SD
National Provider Identifier
1821373325
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
D1040 Issued in SD
Practice address
2800 Jackson Blvd Suite #6
Rapid City, SD 57702-1504
Phone
(605) 348-2556
NPI assigned
Oct 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 8063149-9921 UT
Periodontics 1223P0300X D1040 SD Primary

Addresses

Primary practice location

2800 Jackson Blvd Suite #6
Rapid City, SD 57702-1504

Mailing address

2800 Jackson Blvd
Rapid City, SD 57702-1504
Phone (605) 348-2556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D1040SDMDPeriodontist
8063149-9921UTMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1821373325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 JACKSON BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577021504",
            "telephone_number": "605-348-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 JACKSON BLVD SUITE #6",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577021504",
            "telephone_number": "605-348-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEHRING",
        "first_name": "JOSHUA",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-15",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "UT",
            "license": "8063149-9921",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SD",
            "license": "D1040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.