PONDEROSA SMILES
NPI 1053919506
Dentist - General Practice in Rapid City, SD

Q: What is Ponderosa Smiles's NPI number?

The NPI number for Ponderosa Smiles is 1053919506. It was assigned to this organization in the NPPES registry on October 15, 2020.

Q: What is Ponderosa Smiles's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Ponderosa Smiles was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 15, 2020

5955 MOUNT RUSHMORE RD STE A, RAPID CITY, SD 57701(605) 791-5005 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ponderosa Smiles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PONDEROSA SMILES (NPI 1053919506) is a healthcare organization registered as a general practice in Rapid City, South Dakota and active in the NPI registry since October 2020. The organization lists Rob Lyons, Dentist, as its authorized official.

NPPES Registry Identity

NPI1053919506

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePONDEROSA SMILES

Location Address5955 MOUNT RUSHMORE RD STE ARapid City, SD 57701-8960

Mailing Address5955 Mount Rushmore Rd Ste ARapid City, SD 57701-8960 · (605) 791-5005

Phone(605) 791-5005

Organization SubpartNo

Authorized OfficialRob LyonsDentist · (605) 791-5005

Enumeration DateOctober 15, 2020

NPPES CertifiedOctober 15, 2020

✔ NPI 1053919506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

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.

5955 MOUNT RUSHMORE RD STE A, Rapid City, SD 57701

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROB DEAN LYONS DDS

Dentist (General Practice)

5955 MOUNT RUSHMORE RD STE A
RAPID CITY, SD 57701

Meade County (605) 791-5005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ponderosa Smiles's NPI number?

The NPI number for Ponderosa Smiles is 1053919506. It was assigned to this organization in the NPPES registry on October 15, 2020.

Where is Ponderosa Smiles located?

Ponderosa Smiles is located at 5955 Mount Rushmore Rd Ste A, Rapid City, SD 57701. The listed phone number is (605) 791-5005.

What is Ponderosa Smiles's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ponderosa Smiles was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.