Kevin S. Bjork, DDS
Individual provider Active NPI Dentist · Bismarck, ND
NPI 1003960410 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003960410
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- ND1603 (ND)
- Practice address
- 1929 N Washington St
Bismarck, ND 58501-1616 - Phone
- (701) 222-1286
- Fax
- (701) 222-1009
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | ND1603 | ND | Yes |
Addresses
Primary practice location
1929 N Washington St
Bismarck, ND 58501-1616
Mailing address
1929 N Washington St
Bismarck, ND 58501-1616
Phone (701) 222-1286
Other names
- Dr. Kevin S. Bjork
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.