Michael H Doerr, D.M.D., P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D1092 Issued in SD

Legal business name

MICHAEL H DOERR, D.M.D., P.C.

Doing business as

Boulevard Dental

Practice address

801 Mount Rushmore Rd
Suite 201
Rapid City, SD 57701-3614

Phone

(605) 341-1895

NPI assigned

Jan 19, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Michael H Doerr, D.M.D.NPI 1801270228

Title

President

Phone

(605) 341-1895

Specialties & licenses 1

Addresses

Other names 1

• Boulevard Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Doerr, D.M.D.

  • Dentist
  • Rapid City, SD
  • NPI 1801270228
  NPD (past) Authorized official
• Greg Alan Hanson, D.D.S.

  • General Practice Dentistry
  • Rapid City, SD
  • NPI 1639254006
  NPD (past)

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1952768186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MOUNT RUSHMORE RD",
            "address_2": "SUITE 201",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013614",
            "telephone_number": "605-341-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MOUNT RUSHMORE RD",
            "address_2": "SUITE 201",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013614",
            "telephone_number": "605-341-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL H DOERR, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "DOERR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-341-1895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SD",
            "license": "D1092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulevard Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kamp Richard Meyer, DDS
• Debra M Meyers, RT ( R)(M)
• Gary Lee Meyers, PHARMD
• Kristine Meyers
• Zaida Jaqueline Meza
• Michael J. Krump D.D.S., P.C.
• Kaycee Rae Michael, M.A. CCC-SLP
• Rachel Lynn Michael, M.D.
• Katie Michelson, CNP
• Curtis Andrew Middleton, NCSP

• Dental Clinic/Center in Rapid City, SD
• Providers in Rapid City, 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 Jan 19, 2016; 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.