Organization Active NPI

Pinehurst Family Dentistry

  • Dental Clinic/Center
  • Bismarck, ND
National Provider Identifier
1023561123
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1816 Issued in ND
Legal business name
PINEHURST FAMILY DENTISTRY
Practice address
1001 W Interstate Ave
Ste 132
Bismarck, ND 58503-0946
Phone
(701) 223-1476
Fax
(701) 223-4503
NPI assigned
Jul 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Chris Neer
Title
Manager
Phone
(701) 223-1476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1816 ND Primary

Addresses

Primary practice location

1001 W Interstate Ave
Ste 132
Bismarck, ND 58503-0946

Mailing address

1001 W Interstate Ave
Ste 132
Bismarck, ND 58503-0946
Phone (701) 223-1476

Other identifiers 1

IdentifierTypeStateIssuer
1457770MedicaidND

National Provider Directory

National Provider Directory

Locations

1001 W Interstate Ave
Ste 132
Bismarck, ND 58503
Phone (701) 223-1476

Practitioners & affiliated clinicians

Practitioners 1

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": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1023561123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W INTERSTATE AVE",
            "address_2": "STE 132",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030946",
            "telephone_number": "701-223-1476",
            "fax_number": "701-223-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W INTERSTATE AVE",
            "address_2": "STE 132",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030946",
            "telephone_number": "701-223-1476",
            "fax_number": "701-223-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEHURST FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "NEER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "701-223-1476"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ND",
            "license": "1816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457770",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.