NPIMap

Organization Active NPI

Serenity Valley Family Dentistry

  • Dental Clinic/Center
  • Fargo, ND
National Provider Identifier
1093241846
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SERENITY VALLEY FAMILY DENTISTRY
Practice address
3633 Lincoln St S
Suite C
Fargo, ND 58104-7770
Phone
(701) 373-0681
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Dr. Shandra Rosenfeldt, D.D,SNPI 1740386853
Title
Doctor
Phone
(701) 373-0681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3633 Lincoln St S
Suite C
Fargo, ND 58104-7770

Mailing address

3633 Lincoln St S
Suite C
Fargo, ND 58104-7770

National Provider Directory

National Provider Directory

Locations

3633 Lincoln St S
Ste C
Fargo, ND 58104
Phone (701) 373-0681

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": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1093241846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 LINCOLN ST S",
            "address_2": "SUITE C",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 LINCOLN ST S",
            "address_2": "SUITE C",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047770",
            "telephone_number": "701-373-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY VALLEY FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "ROSENFELDT",
        "authorized_official_first_name": "SHANDRA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "701-373-0681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D,S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.