NPIMap

Organization Active NPI

University of North Dakota

Doing business as UND Speech Language & Hearing Clinic

  • Speech-Language Pathologist
  • Grand Forks, ND
National Provider Identifier
1093910762
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
UNIVERSITY OF NORTH DAKOTA
Doing business as
UND Speech Language & Hearing Clinic
Practice address
290 Centennial Dr
Montgomery Hall Room 101
Grand Forks, ND 58202-6063
Phone
(701) 777-3727
NPI assigned
Jun 20, 2007
Last updated
Jul 21, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF NORTH DAKOTAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Dr. John P Madden, PH.D.NPI 1437222452
Title
Department Chair
Phone
(701) 777-3232

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

290 Centennial Dr
Montgomery Hall Room 101
Grand Forks, ND 58202-6063

Mailing address

290 Centennial Dr Stop 8040
Grand Forks, ND 58202-8040
Phone (701) 777-3232

Other identifiers 1

IdentifierTypeStateIssuer
50055MedicaidND

Other names 1

  • UND Speech Language & Hearing Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bismark Family Practice14 organizations share this tax ID, including this one
Part of
Bismark Family Practice

Other organizations with this tax ID 13

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

View all 13

Locations

290 Centennial Dr
Rm 101
Grand Forks, ND 58202
Phone (701) 777-3727

290 Centennial Dr
Stop 8040
Grand Forks, ND 58202
Phone (701) 777-3232

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1093910762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 CENTENNIAL DR STOP 8040",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582028040",
            "telephone_number": "701-777-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CENTENNIAL DR",
            "address_2": "MONTGOMERY HALL ROOM 101",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582026063",
            "telephone_number": "701-777-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NORTH DAKOTA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF NORTH DAKOTA",
        "enumeration_date": "2007-06-20",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DEPARTMENT CHAIR",
        "authorized_official_telephone_number": "701-777-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50055",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UND Speech Language & Hearing Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.