OrganizationActive
Ponderosa Smiles
NPI 1053919506 · General Practice Dentistry · Rapid City, SD
Ponderosa Smiles is a General Practice Dentistry organization in Rapid City, SD (NPI 1053919506).
Provider details
- NPI number
- 1053919506
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Rob Lyons, Dentist(605) 791-5005
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5955 Mount Rushmore Rd Ste a
Rapid City, SD 57701-8960
Phone: (605) 791-5005
Approximate (ZIP-level) locationGet directions
Mailing address
5955 Mount Rushmore Rd Ste a
Rapid City, SD 57701-8960
Registry dates
- Enumerated
- 2020-10-15
- Last updated
- 2020-10-15
- Certified
- 2020-10-15
Frequently asked questions
- What is Ponderosa Smiles's NPI number?
- Ponderosa Smiles's National Provider Identifier (NPI) is 1053919506, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ponderosa Smiles?
- Ponderosa Smiles is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Ponderosa Smiles located?
- Ponderosa Smiles's practice location on file with NPPES is 5955 Mount Rushmore Rd Ste a, Rapid City, SD 57701-8960.
- What is Ponderosa Smiles's phone number?
- The practice phone number listed in the NPPES registry for Ponderosa Smiles is (605) 791-5005.
- Who is the authorized official for Ponderosa Smiles?
- The authorized official listed on Ponderosa Smiles's NPPES record is Rob Lyons, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ponderosa Smiles's NPI active?
- Yes — Ponderosa Smiles's NPI (1053919506) is active in the NPPES registry as of the last update on 2020-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.