DAKOTA REGIONAL PERIODONTICS (NPI# 1013394535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013394535 |
| Entity Type | Organization |
| Organization Name | DAKOTA REGIONAL PERIODONTICS |
| Practice Address |
2800 Jackson Blvd #6 Rapid City SD 57702 |
| Practice Telephone | 6053482556 |
| Practice Fax Number | 6053481526 |
| Mailing Telephone | 6053482556 |
| Mailing Fax Number | 6053481526 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |
| Authorized Official Name | JOSHUA WADE NEHRING (DOCTOR / OWNER) |
| Authorized Official Telephone | 6053482556 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
D1040 | SD | Dental Providers |
| Street Address |
2800 JACKSON BLVD #6 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1427603026 | Mikaela Licht | Technician | 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 | 2019-08-09 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1598231334 | Regional Health Physicians, Inc. | Clinic/Center | 1635 Caregiver Circle, Rapid City, SD 57702 | 2018-10-19 |
| 1851813224 | Angie Deneire | Licensed Practical Nurse | 7312 Pinon Jay Circle, Rapid City, SD 57702 | 2017-07-07 |
| 1073063830 | Kirsten William-kennedy Dds, Ms, P.C. | Dentist | 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 | 2016-10-05 |
| 1932558939 | Emily T Rausch | Physical Therapist | 2040 West Main, #212, Rapid City, SD 57702 | 2016-06-09 |
| 1033597810 | John Dennis Burke | Speech-Language Pathologist | 4635 Wentworth Drive, Rapid City, SD 57702 | 2015-05-12 |
| 1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
| 1194022970 | Elizabeth Ostolozaga | Counselor | 2525 W Main St Ste 303a6, Rapid City, SD 57702 | 2011-02-14 |
| Find all providers in zip 57702 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079257 | Charles F Scanlon II Dds Msd PC | Dentist | 1761 Tablerock Rd, Rapid City, SD 57701-5595 | 2020-10-06 |
| 1821373325 | Joshua Wade Nehring | Dentist | 2800 Jackson Blvd Suite #6, Rapid City, SD 57702-1504 | 2011-10-15 |
| 1114225661 | Mark Allen Terry | Dentist | 2800 Jackson Blvd Ste 6, Rapid City, SD 57702-3477 | 2011-03-08 |
| 1750423166 | Edward Boyd Whillock | Dentist | 804 West Blvd, Rapid City, SD 57701-3577 | 2007-02-13 |
| 1962983205 | Dakota Regional Periodontics, LLC | Dentist | 2800 Jackson Blvd Ste 6, Rapid City, SD 57702-3477 | 2018-08-24 |
| 1710107008 | Harold A. Doerr, D.d.s, PC | Dentist | 2800 Jackson Blvd, Suite #6, Rapid City, SD 57702-3477 | 2007-04-27 |
| 1942334727 | Eb Whillock Dds, Ltd. | Dentist | 804 West Blvd, Rapid City, SD 57701-3577 | 2007-03-15 |
| 1063421501 | Harold A Doerr | Dentist | 2800 Jackson Blvd, Suite #6, Rapid City, SD 57702-1504 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396252698 | Dunes Peiodontics and Implant Dentistry | Dentist | 150 Tower Rd Ste 110, Dakota Dunes, SD 57049-8000 | 2018-01-08 |
| 1184792236 | Thomas L. Kassube | Dentist | 3805 S Kiwanis Cir, Sioux Falls, SD 57105-4266 | 2006-11-30 |
| 1396342846 | Mark T Lavin Dds PC | Dentist | 3400 E 26th St, Sioux Falls, SD 57103-4183 | 2020-10-07 |
| 1265949150 | Johnson Periodontics, Prof. LLC | Dentist | 3805 S Kiwanis Cir, Sioux Falls, SD 57105-4266 | 2018-01-02 |
| 1336266436 | Mark Thomas Lavin | Dentist | 6104 S Lyncrest Ave, Sioux Falls, SD 57108-2560 | 2007-03-23 |
| 1275685299 | Kassube & Lankford Midwest Periodontics, Prof. LLC | Dentist | 3805 S Kiwanis Cir, Sioux Falls, SD 57105-4266 | 2007-01-18 |
| City | RAPID CITY |
| Zip Code | 57702 |
Please comment or provide details below to improve the information on DAKOTA REGIONAL PERIODONTICS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.