RICHARD BRADY PERDUE (NPI# 1376197533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376197533 |
| Entity Type | Individual |
| Full Name | RICHARD BRADY PERDUE |
| Credential | DDS |
| Practice Address |
2606 Elderberry Blvd Rapid City SD 57703 |
| Mailing Address |
402 Maple Ave Rapid City SD 57701-2931 |
| Practice Telephone | 6057373150 |
| Practice Fax Number | 6053483201 |
| Mailing Telephone | 6057373150 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D1247 | SD | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 402 Maple Ave, Rapid City, SD 577012931 | 6057373150 | 6053483201 |
| Street Address |
2606 ELDERBERRY BLVD |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700125259 | Rapid City Regional Hospital, Inc. | Pharmacy | 1906 Lombardy Drive, Suite 102, Rapid City, SD 57703 | 2013-02-04 |
| 1689912875 | Rocky Mountain Holdings LLC | Ambulance | 4025 Lacroix Ct, Rapid City, SD 57703 | 2013-01-22 |
| 1083900310 | Olivia Bingaman | Nurse Practitioner | 1760 Centre St Ste B, Rapid City, SD 57703 | 2011-06-24 |
| 1770878944 | Tom Dale Iverson | Pharmacist | 1415 Eglin St., Rapid City, SD 57703 | 2011-06-15 |
| 1770944498 | Richard Scott Wiley | Counselor | 4951 Hansen Ln, Rapid City, SD 57703-0147 | 2016-03-08 |
| 1811271331 | Kelli Jo Birdsall | Speech-Language Pathologist | 4840 Homestead St, Rapid City, SD 57703-0194 | 2011-10-03 |
| 1932658762 | Lyndsay Farnsworth | Registered Nurse | 4840 Homestead St, Rapid City, SD 57703-0194 | 2016-09-21 |
| 1790953198 | Michele Ann Solano | Occupational Therapist | 1221 Aurora Dr, Rapid City, SD 57703-0198 | 2008-02-19 |
| 1902204894 | Delain Kay Johnson | Counselor | 1501 Centre St, Suite 106, Rapid City, SD 57703-3002 | 2014-12-09 |
| 1609238203 | Christopher Harley Hastings | Counselor | 1501 Centre St, Rapid City, SD 57703-3002 | 2016-03-23 |
| Find all providers in zip 57703 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727969 | Shaun Lemmon | Dentist | 333 West Blvd # 300a, Rapid City, SD 57701-2670 | 2020-10-14 |
| 1366049660 | Byrne Dental, Professional LLC | Dentist | 3825 Canyon Lake Dr, Rapid City, SD 57702 | 2020-10-08 |
| 1508424680 | Joshua Petersen | Dentist | 1687 Tablerock Rd, Rapid City, SD 57701-5495 | 2019-06-03 |
| 1063904290 | Brittni Rose Reichert | Dentist | 6005 Mount Rushmore Rd, Rapid City, SD 57701-8962 | 2018-06-04 |
| 1598279028 | Schmalz Dental LLC | Dentist | 1147 Eglin St, Rapid City, SD 57701-9612 | 2017-11-20 |
| 1649556978 | Moody Dental Implant Centers LLC | Dentist | 705 Columbus St, Rapid City, SD 57701-3623 | 2011-11-01 |
| 1134417058 | Rob Dean Lyons | Dentist | 5955 Mount Rushmore Rd Ste A, Rapid City, SD 57701 | 2011-07-12 |
| 1083852826 | Tracy Krafthefer Heeter | Dentist | 685 N Lacrosse St, Rapid City, SD 57701-1492 | 2009-02-02 |
| 1568611374 | Charles F. Scanlon II | Dentist | 5955 South Highway 16, Suite A, Rapid City, SD 57701-8911 | 2008-09-17 |
| 1336300847 | Eric Grant Unkenholz | Dentist | 710 Mount Rushmore Rd, Rapid City, SD 57701-3609 | 2008-06-18 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57703 |
Please comment or provide details below to improve the information on RICHARD BRADY PERDUE.
| 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.