Infinity Implant and Sedation Dentistry Black Hills LLC
NPI 1578169264ActiveOrganization· Dentist· Rapid City, SD
Dentist in Rapid City, South Dakota, registered in NPPES in December 2020. The authorized official on file is Brian Kelly Prouty, DDS, Owner.
Overview
| NPI | 1578169264 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 8, 2020 |
| Last updated in NPPES | Dec 8, 2020 |
| Certified by provider | Dec 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist providers in Rapid City
- 1063019537
- 1851593164
- 1134725922
- 1851697148
- 1487142808
- 1578725842
- 1629315932
- 1356546394
- 1235305046
- 1073063830
- 1821334392
- 1336209808