Organization Active NPI

Hermanson Endodontics LLC

  • Endodontics
  • Pierre, SD
National Provider Identifier
1902329949
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D1057 Issued in SD
Legal business name
HERMANSON ENDODONTICS LLC
Practice address
1709 N Lincoln Ave Ste 103
Pierre, SD 57501-7809
Phone
(605) 280-5966
NPI assigned
Jul 21, 2017
Last updated
Jul 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Authorized official

Name
Dr. Brian Patrick Hermanson, DDSNPI 1558704288
Title
Endodontist
Phone
(605) 280-5966

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X D1057 SD Primary

Addresses

Primary practice location

1709 N Lincoln Ave Ste 103
Pierre, SD 57501-7809

Mailing address

1709 N Lincoln Ave Ste 103
Pierre, SD 57501-7809

National Provider Directory

National Provider Directory

Locations

1709 N Lincoln Ave
Ste 103
Pierre, SD 57501
Phone (605) 224-9902

Practitioners & affiliated clinicians

Practitioners 1

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": "1500595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500595200000",
    "number": "1902329949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 N LINCOLN AVE STE 103",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575017809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 N LINCOLN AVE STE 103",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575017809",
            "telephone_number": "605-280-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMANSON ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A",
        "authorized_official_last_name": "HERMANSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "605-280-5966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SD",
            "license": "D1057",
            "primary": true
        }
    ],
    "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 Jul 21, 2017; 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.