Clark Family Dental Center, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DL141108 Issued in SD

Legal business name

CLARK FAMILY DENTAL CENTER, LLC

Practice address

415 1St Ave W
Clark, SD 57225-1320

Phone

(605) 532-3636

NPI assigned

Dec 26, 2017

Last updated

Oct 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Craig Dean Spieker, DDSNPI 1457397812

Title

Partner

Phone

(605) 532-3636

Specialties & licenses 1

Addresses

Other names 1

• Spieker Dental, Inc. Former legal business name

Locations

Practitioners 2

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.

• Craig Dean Spieker, D.D.S.

  • General Practice Dentistry
  • Clark, SD
  • NPI 1457397812
  NPD (past) Authorized official
• Harvey Dean Spieker, D.D.S.

  • General Practice Dentistry
  • Clark, SD
  • NPI 1104857440
  NPD (past)

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1891201018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 1ST AVE W",
            "city": "CLARK",
            "state": "SD",
            "postal_code": "572251320",
            "telephone_number": "605-532-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 1ST AVE W",
            "city": "CLARK",
            "state": "SD",
            "postal_code": "572251320",
            "telephone_number": "605-532-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK FAMILY DENTAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-26",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "SPIEKER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "605-532-3636",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SD",
            "license": "DL141108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spieker Dental, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Clark Care and Rehabilitation Center LLC (Clark Care and Rehabilitation Center)
• Clark City SD Skilled Nursing Facility LLC (Avantara Clark City)
• Clark Community Pharmacy Inc (Clark Community Pharmacy)
• Clark County
• Clark Family Chiropractic, LLC
• Essential Chiropractic
• Fay Wookey Memorial, Inc. (Fay Wookey Memorial Assisted Living Center)
• Ellie Jean Feldhaus
• Tyler Flammond
• Sandra Hovde II, PT

• Dental Clinic/Center in Clark, SD
• Providers in Clark, SD by specialty
• Dental Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.