NPIMap

Organization Active NPI

North Dakota State College of Science

  • Public Health Dentistry
  • Wahpeton, ND
National Provider Identifier
1033422613
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
1754 Issued in ND
Legal business name
NORTH DAKOTA STATE COLLEGE OF SCIENCE
Practice address
Allied Dental Education Department
800 N 6TH St
Wahpeton, ND 58076-0001
Phone
(701) 671-2333
Fax
(701) 671-2517
NPI assigned
Jul 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Kathy Bodensteiner
Title
Clinic Coordinator
Phone
(701) 671-2333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223D0001X 1754 ND Primary

Addresses

Primary practice location

Allied Dental Education Department
800 N 6TH St
Wahpeton, ND 58076-0001

Mailing address

Allied Dental Education Department
800 N 6TH St
Wahpeton, ND 58076-0001
Phone (701) 671-2333

National Provider Directory

National Provider Directory

Locations

800 6th St N
Wahpeton, ND 58076
Phone (701) 630-0072

Practitioners & affiliated clinicians

Practitioners 2

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": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1033422613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ALLIED DENTAL EDUCATION DEPARTMENT",
            "address_2": "800 N 6TH ST",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580760001",
            "telephone_number": "701-671-2333",
            "fax_number": "701-671-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALLIED DENTAL EDUCATION DEPARTMENT",
            "address_2": "800 N 6TH ST",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580760001",
            "telephone_number": "701-671-2333",
            "fax_number": "701-671-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DAKOTA STATE COLLEGE OF SCIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "BODENSTEINER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CLINIC COORDINATOR",
        "authorized_official_telephone_number": "701-671-2333"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "ND",
            "license": "1754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahpeton, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.