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BRIANNA LYNN CLEMETSON DMD
NPI 1992692453
Dentist in Rapid City, SD

Active since June 18, 2025PECOS Enrolled
3200 CANYON LAKE DR STE 1, RAPID CITY, SD 57702(605) 355-2500 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brianna Lynn Clemetson Dmd NPPES

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

BRIANNA LYNN CLEMETSON DMD (NPI 1992692453) is an individual dentist in Rapid City, South Dakota, licensed in South Dakota (D1487) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1992692453
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameBRIANNA LYNN CLEMETSONCredential: DMD
Location Address3200 CANYON LAKE DR STE 1Rapid City, SD 57702-8114
Mailing Address4501 Zags Loop Apt 4Rapid City, SD 57703-7073 · (605) 593-3124
Phone(605) 355-2500
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 18, 2025
NPPES CertifiedJune 18, 2025
✔ NPI 1992692453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SD · D1487
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3200 CANYON LAKE DR STE 1, Rapid City, SD 57702
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brianna Lynn Clemetson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961970355
PECOS Enrollment IDI20260504008121
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

MONIQUE M APPLE DSW, LCSW
Social Worker (Clinical)
3200 CANYON LAKE DR STE 1
RAPID CITY, SD 57702
Pennington County (605) 209-5141
DR. TYLER CLYDE SHARP PT, DPT
Physical Therapist
3200 CANYON LAKE DR STE 1
RAPID CITY, SD 57702
Pennington County (605) 355-2431
AMANDA MICHELLE WASSENAAR MLS
Specialist/Technologist, Pathology (Medical Technologist)
3200 CANYON LAKE DR STE 1
RAPID CITY, SD 57702
Pennington County (605) 355-2227
KALEN A MEHLHAFF RN
Registered Nurse
3200 CANYON LAKE DR STE 1
RAPID CITY, SD 57702
Pennington County (606) 355-2500

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 Brianna Clemetson's NPI number?

The NPI number for Brianna Clemetson is 1992692453. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Brianna Clemetson located?

Brianna Clemetson practices at 3200 Canyon Lake Dr Ste 1, Rapid City, SD 57702. The listed phone number is (605) 355-2500.

What is Brianna Clemetson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Brianna Clemetson enrolled in Medicare?

Yes. Brianna Clemetson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brianna Clemetson was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.