Blaine T Clausnitzer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

901804 Issued in ND

Practice address

1110 College Dr
Ste 108
Bismarck, ND 58501

Phone

(701) 255-0586

Fax

(701) 255-2186

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073523783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 COLLEGE DR",
            "address_2": "STE 108",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58501",
            "telephone_number": "701-255-0586",
            "fax_number": "701-255-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 COLLEGE DR",
            "address_2": "STE 108",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58501",
            "telephone_number": "701-255-0586",
            "fax_number": "701-255-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUSNITZER",
        "first_name": "BLAINE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "901804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41313",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Clark, DPT
• Deborah R Clarke, O.T.
• Raymond Howard Clary III, PHARM. D.
• Sarah Clausen
• Clausnitzer Dentistry, P.C.
• Nathaniel Paul Clausnitzer, DMD
• Peggy Clauson
• Ryan Clauson, M.D.
• Karen Lolita Clayton
• Kristin Cleary

• General Practice Dentistry in Bismarck, ND
• Providers in Bismarck, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.