SIOUXLAND ORAL SURGERY
NPI 1790757011
Dentist - Oral and Maxillofacial Surgery in Sioux Falls, SD

NPI Status: Active since February 02, 2006

Contact Information

6401 S MINNESOTA AVE
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 335-1080
Fax: (605) 332-4550

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  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery
  • Accepts Insurance
  • CLIA Number: 43D1068722
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 09-15-2026

About SIOUXLAND ORAL SURGERY

This page provides the complete NPI Profile along with additional information for Siouxland Oral Surgery, a provider established in Sioux Falls, South Dakota operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1790757011 assigned on February 2006. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Peggy Kristin Roth (Insurance Administrator)

NPI
1790757011
Provider Name
SIOUXLAND ORAL SURGERY
Entity Type
Organization
Location Address
6401 S MINNESOTA AVE SIOUX FALLS, SD 57108
Location Phone
(605) 335-1080
Location Fax
(605) 332-4550
Mailing Address
6401 S MINNESOTA AVE SIOUX FALLS, SD 57108
Mailing Phone
(605) 335-1080
Mailing Fax
(605) 332-4550
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-02-2006
Last Update Date
04-14-2015
Code Navigator

A dentist like Siouxland Oral Surgery is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • ConnectPlus $0 Gold - PPO
  • ConnectPlus $0 Silver - PPO
  • ConnectPlus $10,600 HSA Eligible HDHP - PPO
  • ConnectPlus $1800 - PPO
  • ConnectPlus $4500 - PPO
  • ConnectPlus $6500 HSA Eligible HDHP - PPO
  • ConnectPlus $7500 HSA Eligible HDHP - PPO
  • ConnectPlus MyWeighForward $2000 - PPO
  • ConnectPlus MyWeighForward $6000 - PPO
  • ConnectPlus Standard $2000 - PPO
  • ConnectPlus Standard $6000 - PPO
  • ConnectPlus Standard $7500 HSA Eligible HDHP - PPO
  • DirectConnect $0 Gold - HMO
  • DirectConnect $0 Silver - HMO
  • DirectConnect $1800 - HMO
  • DirectConnect $4500 - HMO
  • DirectConnect $6500 HSA Eligible HDHP - HMO
  • DirectConnect $7500 HSA Eligible HDHP - HMO
  • DirectConnect MyWeighForward $2000 - HMO
  • DirectConnect MyWeighForward $6000 - HMO
  • Sanford Individual TRUE $1,750 - HMO
  • Sanford Individual TRUE $10,600 - HMO
  • Sanford Individual TRUE $3,500 - HMO
  • Sanford Individual TRUE $4,750 - HMO
  • Sanford Individual TRUE $6,500 - HMO
  • Sanford Individual TRUE $7,200 HSA Qualified - HMO
  • Sanford Individual TRUE Standardized $2,000 - HMO
  • Sanford Individual TRUE Standardized $6,000 - HMO
  • Sanford Individual TRUE Standardized $7,500 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. PEGGY KRISTIN ROTH

Authorized Official Title
INSURANCE ADMINISTRATOR
Authorized Official Phone
(605) 335-1080

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
43D1068722
Facility Type
Practitioner Other
Certificate Effective Date
September 16, 2024
Certificate Expiration Date
September 15, 2026
Laboratory Director
DENIS MILLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Siouxland Oral Surgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SIOUXLAND ORAL SURGERY

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790757011, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 1 + 4 + 5 + 1 + 4 + 0 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1790757011.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
6401 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Dentist (Oral and Maxillofacial Surgery)
6401 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Dentist (Oral and Maxillofacial Surgery)
6401 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Dentist (Oral and Maxillofacial Surgery)
6401 S MINNESOTA AVE
SIOUX FALLS, SD 57108
Dentist (Oral and Maxillofacial Surgery)
6401 S MINNESOTA AVE
SIOUX FALLS, SD 57108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790757011, enumerated as an "organization" on February 02, 2006.

The provider is located at 6401 S MINNESOTA AVE SIOUX FALLS, SD 57108 and the phone number is (605) 335-1080.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Avera Health Plans and Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.