Organization Active NPI

Unkenholz Omaha St Dental LLC

  • Dental Clinic/Center
  • Rapid City, SD
National Provider Identifier
1821811571
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
UNKENHOLZ OMAHA ST DENTAL LLC
Practice address
1301 W Omaha St Ste 228
Rapid City, SD 57701-2422
Phone
(605) 342-2445
NPI assigned
Nov 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Eric G Unkenholz, DDSNPI 1336300847
Title
Owner / President
Phone
(605) 431-5774

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1301 W Omaha St Ste 228
Rapid City, SD 57701-2422

Mailing address

1301 W Omaha St Ste 228
Rapid City, SD 57701-2422
Phone (605) 342-2445

Other names 2

  • Family Dental Care Doing business as
  • Unkenholz Family Dental Former legal business name

National Provider Directory

National Provider Directory

Locations

1301 W Omaha St
Ste 228
Rapid City, SD 57701
Phone (605) 342-2445

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1821811571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W OMAHA ST STE 228",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012422",
            "telephone_number": "605-342-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W OMAHA ST STE 228",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012422",
            "telephone_number": "605-342-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNKENHOLZ OMAHA ST DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "UNKENHOLZ",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "605-431-5774",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Unkenholz Family Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Nov 1, 2024; 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.