Active NPI
Kieffer Family Dental
- General Practice Dentistry
- Rapid City, SD
National Provider Identifier
1982785580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- KIEFFER FAMILY DENTAL
- Practice address
- 2620 Jackson Blvd
Suite B
Rapid City, SD 57702-1502 - Phone
- (605) 716-7527
- Fax
- (605) 716-7529
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Alvin Kieffer, D.D.S.
- Title
- Owner/Dentist
- Phone
- (605) 716-7527
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | SD | Primary |
Addresses
Primary practice location
2620 Jackson Blvd
Suite B
Rapid City, SD 57702-1502
Mailing address
2620 Jackson Blvd
Suite B
Rapid City, SD 57702-1502
Phone (605) 716-7527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7809990 | Medicaid | SD |
National Provider Directory
National Provider DirectoryLocations
2620 Jackson Blvd
Ste B
Rapid City, SD 57702
Phone (605) 348-1712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982785580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 JACKSON BLVD",
"address_2": "SUITE B",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577021502",
"telephone_number": "605-716-7527",
"fax_number": "605-716-7529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 JACKSON BLVD",
"address_2": "SUITE B",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577021502",
"telephone_number": "605-716-7527",
"fax_number": "605-716-7529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIEFFER FAMILY DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KIEFFER",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "ALVIN",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "605-716-7527",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "SD",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7809990",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.