NPIMap

Organization Active NPI

Patrick R Hermanson DDS PC

  • Dentist
  • Pierre, SD
National Provider Identifier
1861545626
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PATRICK R HERMANSON DDS PC
Practice address
433 S Central Ave
Pierre, SD 57501-4508
Phone
(605) 224-5966
Fax
(605) 224-7038
NPI assigned
Jan 18, 2007
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Dr. Patrick R HermansonNPI 1679667703
Title
Owner
Phone
(605) 224-5966

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
Dentist 122300000X Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X

Addresses

Primary practice location

433 S Central Ave
Pierre, SD 57501-4508

Mailing address

433 S Central Ave
Pierre, SD 57501-4508
Phone (605) 224-5966

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1861545626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 S CENTRAL AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575014508",
            "telephone_number": "605-224-5966",
            "fax_number": "605-224-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 S CENTRAL AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575014508",
            "telephone_number": "605-224-5966",
            "fax_number": "605-224-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK R HERMANSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "HERMANSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-224-5966",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pierre, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.