Family Dentists Prof LLC

Primary specialty

DentistTaxonomy code 122300000X

License

D803 Issued in SD

Legal business name

FAMILY DENTISTS PROF LLC

Practice address

812 Columbus St
Rapid City, SD 57701

Phone

(605) 341-5437

NPI assigned

Feb 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. (Jay) John Arthur Benusis, DDS

Title

Officer

Phone

(605) 341-5437

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kenneth Benusis, DMD

  • Pediatric Dentistry
  • Rapid City, SD
  • NPI 1538207519
  NPD (past)

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1851697148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 COLUMBUS ST.",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-341-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 COLUMBUS ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-341-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTS PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "BENUSIS",
        "authorized_official_first_name": "(JAY) JOHN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "605-341-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SD",
            "license": "D803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Familia Home Health
• Family Chiropractic Health Clinic PC
• Family Connections Centers, Inc
• Family Connections Counseling LLC
• Family Dental Care
• Family Dynamics Therapy LLC
• Family First Therapy Services LLC
• Family Smiles Dental Prof LLC
• Shawn Fanning
• Elizabeth S Farnsworth, MD, PHD

• Dentist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Dentist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.