NPIMap

Organization Active NPI

Urban Dental Health, PLLC

  • Dentist
  • West Fargo, ND
National Provider Identifier
1003213182
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1974 Issued in ND
Legal business name
URBAN DENTAL HEALTH, PLLC
Practice address
3424 2ND St E
West Fargo, ND 58078-7947
Phone
(701) 412-3600
NPI assigned
Dec 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Christopher Algot Eriksson, DDS
Title
Owner/Dentist
Phone
(701) 353-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 1974 ND Primary

Addresses

Primary practice location

3424 2ND St E
West Fargo, ND 58078-7947

Mailing address

3424 2ND St E
West Fargo, ND 58078-7947
Phone (701) 412-3600

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1003213182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 2ND ST E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787947",
            "telephone_number": "701-412-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 2ND ST E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787947",
            "telephone_number": "701-412-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN DENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "ERIKSSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ALGOT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "701-353-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "ND",
            "license": "1974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.