Jesse David Fast, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

135 Issued in SD

Practice address

1010 Dakota Ave S
Huron, SD 57350-3318

Phone

(605) 352-6999

NPI assigned

Jun 3, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Dakota Family Dentistry, Prof. LLC

  • Dental Clinic/Center
  • Huron, SD
  • NPI 1962967455
  NPD (past) Authorized official
• Bruce D Wintle DDS

  dba Dakota Family Dentistry

  • Dentist
  • Huron, SD
  • NPI 1578913273
  NPD (past)

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1871752022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 DAKOTA AVE S",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573503318",
            "telephone_number": "605-352-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 DAKOTA AVE S",
            "city": "HURON",
            "state": "SD",
            "postal_code": "573503318",
            "telephone_number": "605-352-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAST",
        "first_name": "JESSE",
        "middle_name": "DAVID",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS Accoicates LLC (Absolute Hearing Solutions)
• Karen Louise Duncan, COTA
• Nikki L Eining
• Heather Lynn Esping, LCSW, QMHP
• Maryann Fanning, CNP
• Kara Fast, PA
• Kyla Beth Feickert, PA-C
• Gage Fenski, DDS
• Donald Ashley Ferrier, MA
• Jordan Ray Finck, DPM

• Dentist in Huron, SD
• Providers in Huron, SD by specialty
• Dentist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.