NPIMap

Organization Active NPI

University of North Dakota

  • Genetics Clinic/Center
  • Grand Forks, ND
National Provider Identifier
1013032663
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetics Clinic/CenterTaxonomy code 261QG0250X
Legal business name
UNIVERSITY OF NORTH DAKOTA
Practice address
501 N Columbia Rd Stop 9037
Room 5918 Medical School
Grand Forks, ND 58202-9037
Phone
(701) 777-4160
Fax
(701) 777-6321
NPI assigned
Mar 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John T Martsolf
Title
Director, Division of Medical Genet
Phone
(701) 777-4160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetics Clinic/Center 261QG0250X Primary

Addresses

Primary practice location

501 N Columbia Rd Stop 9037
Room 5918 Medical School
Grand Forks, ND 58202-9037

Mailing address

Room 5918 Medical School
501 N Columbia Road Stop 9037
Grand Forks, ND 58202-9037
Phone (701) 777-4160

Other identifiers 1

IdentifierTypeStateIssuer
13120MedicaidND

National Provider Directory

National Provider Directory
Tax ID family
Und Family Practice Cen14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

501 N Columbia Rd
Rm 5918
Grand Forks, ND 58203

501 N Columbia Rd
Stop 9037
Grand Forks, ND 58203
Phone (701) 777-3067

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013032663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROOM 5918 MEDICAL SCHOOL",
            "address_2": "501 N COLUMBIA ROAD STOP 9037",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582029037",
            "telephone_number": "701-777-4160",
            "fax_number": "701-777-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N COLUMBIA RD STOP 9037",
            "address_2": "ROOM 5918 MEDICAL SCHOOL",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582029037",
            "telephone_number": "701-777-4160",
            "fax_number": "701-777-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NORTH DAKOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTSOLF",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR, DIVISION OF MEDICAL GENET",
        "authorized_official_telephone_number": "701-777-4160",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13120",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.