Organization Active NPI

Kieffer Family Dental

  • General Practice Dentistry
  • Rapid City, SD
National Provider Identifier
1982785580
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7809990MedicaidSD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.