Organization Active NPI

Sandwick Orthodontics Inc

Doing business as Fosston Family Dental

  • Dentist
  • Fosston, MN
National Provider Identifier
1144475732
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SANDWICK ORTHODONTICS INC
Doing business as
Fosston Family Dental
Practice address
201 Hillestad Ave N
Fosston, MN 56542-1339
Phone
(218) 435-1717
Fax
(218) 435-6030
NPI assigned
Nov 24, 2008
Last updated
Nov 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Todd Sandwick, DDS
Title
Ceo
Phone
(218) 435-1717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

201 Hillestad Ave N
Fosston, MN 56542-1339

Mailing address

201 Hillestad Ave N
Fosston, MN 56542
Phone (218) 435-1717

Other names 1

  • Fosston Family Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1144475732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HILLESTAD AVE N",
            "city": "FOSSTON",
            "state": "MN",
            "postal_code": "56542",
            "telephone_number": "218-435-1717",
            "fax_number": "218-435-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HILLESTAD AVE N",
            "city": "FOSSTON",
            "state": "MN",
            "postal_code": "565421339",
            "telephone_number": "218-435-1717",
            "fax_number": "218-435-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDWICK ORTHODONTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "SANDWICK",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-435-1717",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fosston Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fosston, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.