BLACK HILLS ORTHODONTICS, PROF. L.L.C. (NPI# 1659541225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659541225 |
Entity Type | Organization |
Organization Name | BLACK HILLS ORTHODONTICS, PROF. L.L.C. |
Practice Address |
2620 Jackson Blvd Ste A Rapid City SD 57702-3478 |
Practice Telephone | 6053431500 |
Enumeration Date | 2008-03-10 |
Last Update Date | 2008-03-10 |
Authorized Official Name | JESSE DANA (VICE PRESIDENT/ORTHODONTIST) |
Authorized Official Telephone | 6053431500 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205393394 | Black Hills Orthodontics, Prof. L.L.C. | Clinic/Center | 5150 5th St, Rapid City, SD 57701-6023 | 2019-02-25 |
Street Address |
2620 JACKSON BLVD STE A |
City | RAPID CITY |
State | SD |
Zip Code | 57702-3478 |
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 |
1013394535 | Dakota Regional Periodontics | Dentist | 2800 Jackson Blvd #6, Rapid City, SD 57702 | 2015-05-05 |
1306272414 | Lindsy Jo Wathen | Speech-Language Pathologist | 13232 Klondike Road, Rapid City, SD 57702 | 2013-09-20 |
Find all providers in zip 57702 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093009250 | Kharouf Orthodontics Group, PC | Dentist | 5150 5th St, Rapid City, SD 57701-6023 | 2011-06-06 |
1023192127 | Evans Orthodontics | Dentist | 600 Dakota Drive, Rapid City, SD 57702-0920 | 2006-10-25 |
1275635187 | Chad Richard Meyer | Dentist | 2620 Jackson Blvd, Suite A, Rapid City, SD 57702 | 2006-09-01 |
1376550129 | John George Kharouf | Dentist | 5150 Fifth Street, Rapid City, SD 57701-6023 | 2006-08-02 |
1083775886 | Bruce A Evans | Dentist | 600 Dakota Drive, Rapid City, SD 57702-0920 | 2006-12-13 |
1568546687 | James A Evans | Dentist | 600 Dakota Drive, Rapid City, SD 57702-0920 | 2006-10-25 |
1376627497 | Bradley J Evans | Dentist | 600 Dakota Drive, Rapid City, SD 57702-0920 | 2006-10-25 |
1407940232 | Richard Meyer Dds PC | Dentist | 2620 Jackson Blvd, Suite A, Rapid City, SD 57702 | 2006-10-03 |
1407958317 | Kamp Richard Meyer | Dentist | 2620 Jackson Blvd, Suite A, Rapid City, SD 57702 | 2006-09-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801439096 | Rachel Soyland | Dentist | 1721 S Cleveland Ave Ste 100, Sioux Falls, SD 57103-5502 | 2019-10-21 |
1215337357 | Hoggan Orthodontics PC | Dentist | 1601 N Harrison Ave Ste 3, Pierre, SD 57501-2376 | 2014-08-26 |
1689971475 | Keri Ann Barrow | Dentist | 2407 W 57th St, Sioux Falls, SD 57108-5026 | 2011-02-15 |
1669602538 | Christopher Paul Wermerson | Dentist | 5200 S Cliff Ave Ste 102, Sioux Falls, SD 57108-5400 | 2009-07-24 |
1003009903 | Ryan K Vanlaecken | Dentist | 600 4th St Ne Ste 103, Watertown, SD 57201-1898 | 2007-08-23 |
1831382134 | Northeast Orthodontic Associates. L.L.C. | Dentist | 25 5th St Ne, Watertown, SD 57201-3712 | 2007-08-21 |
1093932923 | Donald A. Drake II | Dentist | 5100 S Western Ave, Sioux Falls, SD 57108-2677 | 2007-04-20 |
1750427886 | H Ray Duncan | Dentist | 2319 6th Ave Se, Aberdeen, SD 57401-5119 | 2007-01-29 |
1245382159 | Kevin Donald Horner | Dentist | 3400 E 26th St, Sioux Falls, SD 57103-4183 | 2007-01-18 |
1639243876 | Ross L Crist | Dentist | 3500 S Marion Road, Sioux Falls, SD 57106 | 2006-11-20 |
Find all providers with the same taxonomy |
City | RAPID CITY |
Zip Code | 57702 |
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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.