NPIMap

Organization Active NPI

Prairie Rose Family Dentists

  • Dentist
  • Mandan, ND
National Provider Identifier
1023551272
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PRAIRIE ROSE FAMILY DENTISTS
Practice address
2500 Overlook LN NW
Mandan, ND 58554-1593
Phone
(701) 751-3237
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Dr. Sid Schmidt
Title
Doctor
Phone
(701) 751-3237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2500 Overlook LN NW
Mandan, ND 58554-1593

Mailing address

121 E Front Ave
Bismarck, ND 58504-5589
Phone (701) 223-1194

National Provider Directory

National Provider Directory
Tax ID family
Prairie Rose Family Dentists3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

121 E Front Ave
Bismarck, ND 58504
Phone (701) 223-1194

2500 Overlook Ln NW
Mandan, ND 58554
Phone (701) 751-3237

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1023551272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E FRONT AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045589",
            "telephone_number": "701-223-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 OVERLOOK LN NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585541593",
            "telephone_number": "701-751-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE ROSE FAMILY DENTISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "SID",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "701-751-3237",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandan, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.