Individual provider Active NPI

Steven Alan Norberg, DDS

  • General Practice Dentistry
  • Sioux Falls, SD
National Provider Identifier
1902915812
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
M509 Issued in SD
Practice address
5009 W 12TH St
Suite#3
Sioux Falls, SD 57106-3988
Phone
(605) 335-3175
Fax
(605) 335-3176
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 M509 SD Primary

Addresses

Primary practice location

5009 W 12TH St
Suite#3
Sioux Falls, SD 57106-3988

Mailing address

5009 W 12TH St
Suite#3
Sioux Falls, SD 57106-3988
Phone (605) 335-3175

Other identifiers 1

IdentifierTypeStateIssuer
0936104MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M509SDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Norberg,D.D.S., P.C. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902915812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 W 12TH ST",
            "address_2": "SUITE#3",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063988",
            "telephone_number": "605-335-3175",
            "fax_number": "605-335-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 W 12TH ST",
            "address_2": "SUITE#3",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571063988",
            "telephone_number": "605-335-3175",
            "fax_number": "605-335-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORBERG",
        "first_name": "STEVEN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0936104",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.