Active NPI
Brandon Matthew Horse Looking
- Driver
- Bismarck, ND
National Provider Identifier
1134838428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- HOR000655
- Practice address
- 2403 E Thayer Ave
Bismarck, ND 58501-5014 - Phone
- (701) 202-7731
- NPI assigned
- Nov 16, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | HOR000655 | ND | Primary |
Addresses
Primary practice location
2403 E Thayer Ave
Bismarck, ND 58501-5014
Mailing address
1119 University Dr Lot 1508
Bismarck, ND 58504-6614
Phone (701) 471-1037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HOR000655 | ND | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Native Community Development, Inc. Dba Native, Inc. | Current | Accepting new patients |
Locations
2403 E Thayer Ave
Bismarck, ND 58501
Phone (701) 557-7311
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Bismarck, ND
- NPI 1275208001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668556800000",
"number": "1134838428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 UNIVERSITY DR LOT 1508",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585046614",
"telephone_number": "701-471-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2403 E THAYER AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585015014",
"telephone_number": "701-202-7731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORSE LOOKING",
"first_name": "BRANDON",
"middle_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-16",
"last_updated": "2022-11-16",
"certification_date": "2022-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "ND",
"license": "HOR000655",
"primary": true
}
],
"identifiers": [],
"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 Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.