NPIMap

Organization Active NPI

2M Dental Group

  • General Practice Dentistry
  • Bismarck, ND
National Provider Identifier
1124484464
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2137 Issued in ND
Legal business name
2M DENTAL GROUP
Practice address
1143 W Turnpike Ave
Bismarck, ND 58501-8115
Phone
(701) 255-2467
NPI assigned
Dec 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Dr. Megan Brend, DMDNPI 1457607707
Title
Partner
Phone
(701) 255-2467

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2137 ND Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 1418 ND
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 2140 ND

Addresses

Primary practice location

1143 W Turnpike Ave
Bismarck, ND 58501-8115

Mailing address

1143 W Turnpike Ave
Bismarck, ND 58501-8115

Other identifiers 2

IdentifierTypeStateIssuer
40382MedicaidND
40098MedicaidND

National Provider Directory

National Provider Directory

Locations

1143 W Turnpike Ave
Bismarck, ND 58501
Phone (701) 255-2467

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": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1124484464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 W TURNPIKE AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585018115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 W TURNPIKE AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585018115",
            "telephone_number": "701-255-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2M DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "BREND",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "701-255-2467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "2137",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1418",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "ND",
            "license": "2140",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40382",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40098",
            "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 Jan 19, 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.