Rapid City Oral Surgery Prof LLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

RAPID CITY ORAL SURGERY PROF LLC

Practice address

330 E Stumer Rd
Rapid City, SD 57701-6406

Phone

(605) 348-3400

NPI assigned

Jul 19, 2023

Last updated

Jul 19, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

BLACK HILLS ORAL AND MAXILLOFACIAL SURGERY, P.C.As reported in NPPES

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

Authorized official

Name

Isaac Morgan, DMDNPI 1194972877

Title

Partner/Treasurer

Phone

(605) 430-5625

Specialties & licenses 1

Addresses

Part of

Black Hills Oral Surgery PC

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.

• Isaac John Morgan, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Rapid City, SD
  • NPI 1194972877
  NPD Authorized official

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1982384483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E STUMER RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E STUMER RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577016406",
            "telephone_number": "605-348-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPID CITY ORAL SURGERY PROF LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLACK HILLS ORAL AND MAXILLOFACIAL SURGERY, P.C.",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "PARTNER/TREASURER",
        "authorized_official_telephone_number": "605-430-5625",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rapid City Indian Health Service Hospital
• Rapid City Medical Center, LLP
• Rapid City Medical Supplies
• Rapid City Mental Health Prof. LLC
• Rapid City Obstetrics and Gynecology
• Rapid City Orthodontics PLLC (Rapid City Orthodontics)
• Rapid City Physical Therapy, Inc (The Physical Therapy Center)
• Rapid City Plastic Surgery PLLC (Black Hills Plastic Surgery)
• Rapid City Regional Hospital
• Rapid City Regional Hospital

• Oral & Maxillofacial Surgery (D.M.D.) in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.