Organization Active NPI

Harvey Dental Clinic PC

  • Dental Clinic/Center
  • Harvey, ND
National Provider Identifier
1013479880
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HARVEY DENTAL CLINIC PC
Practice address
118 9TH St W
Harvey, ND 58341-1505
Phone
(701) 324-4180
Fax
(701) 324-4702
NPI assigned
Apr 2, 2019
Last updated
Apr 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Authorized official

Name
Greg Christensen
Title
Dentist/Owner
Phone
(701) 324-4180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

118 9TH St W
Harvey, ND 58341-1505

Mailing address

118 9TH St W
Harvey, ND 58341-1505
Phone (701) 324-4180

Other identifiers 2

IdentifierTypeStateIssuer
2372MedicaidND
2372OtherNDNORTH DAKOTA LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

118 9th St W
Harvey, ND 58341
Phone (701) 324-4180

Practitioners & affiliated clinicians

Practitioners 1

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": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1013479880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 9TH ST W",
            "city": "HARVEY",
            "state": "ND",
            "postal_code": "583411505",
            "telephone_number": "701-324-4180",
            "fax_number": "701-324-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 9TH ST W",
            "city": "HARVEY",
            "state": "ND",
            "postal_code": "583411505",
            "telephone_number": "701-324-4180",
            "fax_number": "701-324-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY DENTAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "701-324-4180"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2372",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH DAKOTA LICENSE NUMBER",
            "identifier": "2372",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.