Individual provider Active NPI

Daniel Kohler, DDS

  • General Practice Dentistry
  • Sioux Falls, SD
National Provider Identifier
1861912032
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D1156 Issued in SD
Practice address
2851 E Jackson St
Sioux Falls, SD 57108
Phone
(605) 335-8030
Fax
(605) 335-0984
NPI assigned
Jun 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D1156 SD Primary

Addresses

Primary practice location

2851 E Jackson St
Sioux Falls, SD 57108

Mailing address

2851 E Jackson St
Sioux Falls, SD 57108-3511
Phone (605) 335-8030

Other practice location 1

502 NE 2nd St
Madison, SD 57042-2348
Phone (605) 256-2670

Other practice location 2

502 NE 2nd St
Madison, SD 57042-2348
Phone (605) 256-2670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181206001841 SD Order and Referring Only - DentistPractitioner - Dentist 7315281086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D1156SDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Dental Center General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1861912032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 E JACKSON ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571083511",
            "telephone_number": "605-335-8030",
            "fax_number": "605-335-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 E JACKSON ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57108",
            "telephone_number": "605-335-8030",
            "fax_number": "605-335-0984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 NE 2nd St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "SD",
            "postal_code": "570422348",
            "country_code": "US",
            "telephone_number": "605-256-2670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 NE 2nd St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "SD",
            "postal_code": "570422348",
            "country_code": "US",
            "telephone_number": "605-256-2670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHLER",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D1156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.