REAUSAW-WILSON, DMD, P.C. (NPI# 1386092674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386092674 |
| Entity Type | Organization |
| Organization Name | REAUSAW-WILSON, DMD, P.C. |
| Other Organization Name | ALL ABOUT SMILES VALLEY DENTAL |
| Practice Address |
4215 Berniece St Rapid City SD 57703-6410 |
| Practice Telephone | 6053436691 |
| Practice Fax Number | 6053436731 |
| Mailing Telephone | 6053436691 |
| Mailing Fax Number | 6053436731 |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-07-01 |
| Authorized Official Name | DR. SARA K REAUSAW-WILSON (PRESIDENT) |
| Authorized Official Telephone | 6057867789 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D0819 | SD | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| All About Smiles Valley Dental | Doing Business As Name - Organization |
| Street Address |
4215 BERNIECE ST |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57703-6410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285807214 | Sara K Reausaw-wilson | Dentist | 4215 Berniece St, Rapid City, SD 57703-6410 | 2008-04-10 |
| 1659722940 | Lisa Anderson | Dentist | 4215 Berniece St, Rapid City, SD 57703-6410 | 2016-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376197533 | Richard Brady Perdue | Dentist | 2606 Elderberry Blvd, Rapid City, SD 57703 | 2019-07-26 |
| 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 |
| Find all providers in zip 57703 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403957 | Black Hills Modern Endodontics | Clinic/Center | 655 Omaha St Ste 400, Rapid City, SD 57701-2744 | 2019-12-04 |
| 1023660719 | Dakota Dental 4 Kids | Clinic/Center | 5509 Bendt Dr Ste 302, Rapid City, SD 57702-9460 | 2019-07-12 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| 1699976902 | Mary K. Roth D.d.s. PC | Clinic/Center | 807 Saint Andrew St, Rapid City, SD 57701-4526 | 2007-05-31 |
| 1275131013 | Elden M Rice Dds PC | Clinic/Center | 3712 Canyon Lake Dr, Rapid City, SD 57702-3198 | 2020-10-14 |
| 1962054643 | Rapid City Dental Clinic | Clinic/Center | 2525 W Main St Ste 304, Rapid City, SD 57702-2487 | 2019-07-12 |
| 1205393394 | Black Hills Orthodontics, Prof. L.L.C. | Clinic/Center | 5150 5th St, Rapid City, SD 57701-6023 | 2019-02-25 |
| 1952768186 | Michael H Doerr, D.m.d., P.C. | Clinic/Center | 801 Mount Rushmore Rd, Suite 201, Rapid City, SD 57701-3614 | 2016-01-19 |
| 1831576875 | Joshua W Nehring Dds, PC | Clinic/Center | 2800 Jackson Blvd Ste 6, Rapid City, SD 57702-3477 | 2015-04-29 |
| 1356733042 | Eric Wilbur Dmd PC | Clinic/Center | 211 Founders Park Dr, Suite 2, Rapid City, SD 57701-8098 | 2015-03-04 |
| Find all providers in RAPID CITY | ||||
| City | RAPID CITY |
| Zip Code | 57703 |
Please comment or provide details below to improve the information on REAUSAW-WILSON, DMD, P.C..
| 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.