David Clarence Isebrands, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

M499 Issued in SD

Practice address

100 2ND St
Wagner, SD 57380-0430

Phone

(605) 384-3603

Fax

(605) 384-3604

NPI assigned

Aug 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902818016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "address_2": "100 2ND ST",
            "city": "WAGNER",
            "state": "SD",
            "postal_code": "573800430",
            "telephone_number": "605-384-3603",
            "fax_number": "605-384-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 2ND ST",
            "city": "WAGNER",
            "state": "SD",
            "postal_code": "573800430",
            "telephone_number": "605-384-3603",
            "fax_number": "605-384-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISEBRANDS",
        "first_name": "DAVID",
        "middle_name": "CLARENCE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "M499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margo Jane Hoffman, R.D.L.N.
• Darius Honomichl, BA
• Michael R Horned Eagle, RN
• Deborah M Hubley, PA
• Pedro H Ibarra-Perocier, M.D.
• Vanessa Iverson, LPC-MH
• James Pharmacy Inc (James Drug)
• Jay J Fitzgerald DC (Wagner Chiropractic Clinic)
• Karrah Ann Johnson Bruegman, DDS
• Karisa Kafka

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.