OrganizationActive
Jackson Boulevard Dental Associates
NPI 1629315932 · Dentist · Rapid City, SD
Jackson Boulevard Dental Associates is a Dentist organization in Rapid City, SD (NPI 1629315932).
Provider details
- NPI number
- 1629315932
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jared Taylor, Owner(605) 348-1712
- License
- D1002 (SD)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
2620 Jackson Blvd
Suite B
Rapid City, SD 57702-1502
Phone: (605) 348-1712
Fax: (605) 716-7529
Street-level locationGet directions
Mailing address
2620 Jackson Blvd
Rapid City, SD 57702-1502
Other names (DBA / former)
- Doing business as
- Taylor Dental
Registry dates
- Enumerated
- 2013-01-07
- Last updated
- 2021-10-13
- Certified
- 2021-10-13
Frequently asked questions
- What is Jackson Boulevard Dental Associates's NPI number?
- Jackson Boulevard Dental Associates's National Provider Identifier (NPI) is 1629315932, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Boulevard Dental Associates?
- Jackson Boulevard Dental Associates is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Jackson Boulevard Dental Associates located?
- Jackson Boulevard Dental Associates's practice location on file with NPPES is 2620 Jackson Blvd, Rapid City, SD 57702-1502.
- What is Jackson Boulevard Dental Associates's phone number?
- The practice phone number listed in the NPPES registry for Jackson Boulevard Dental Associates is (605) 348-1712.
- Who is the authorized official for Jackson Boulevard Dental Associates?
- The authorized official listed on Jackson Boulevard Dental Associates's NPPES record is Jared Taylor, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Boulevard Dental Associates's NPI active?
- Yes — Jackson Boulevard Dental Associates's NPI (1629315932) is active in the NPPES registry as of the last update on 2021-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.