Organization Active NPI

Sontak Family Clinic PLLC

  • Clinic/Center
  • Bismarck, ND
National Provider Identifier
1174138507
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SONTAK FAMILY CLINIC PLLC
Practice address
4023 State St Ste 60
Bismarck, ND 58503-0690
Phone
(701) 390-2431
NPI assigned
Sep 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Authorized official

Name
Dr. Sonia Takacs, DNP/FNP-CNPI 1447804679
Title
Provider
Phone
(701) 751-1281

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4023 State St Ste 60
Bismarck, ND 58503-0690

Mailing address

4023 State St Ste 60
Bismarck, ND 58503-0690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201208001097 ND Part B Supplier - Clinic/Group Practice 8123430691 Receives reassigned benefits from 1 practitioner
Practice locations: Bismarck, ND

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D2203424Sontak Family Clinic, PLLC4023 State St, Suite 60, Bismarck, ND 58503Certificate of waiverDec 2, 2026

National Provider Directory

National Provider Directory

Locations

4023 State St
Ste 60
Bismarck, ND 58503
Phone (701) 390-2431

Practitioners & affiliated clinicians

Practitioners 1

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": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1174138507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 STATE ST STE 60",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 STATE ST STE 60",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030690",
            "telephone_number": "701-390-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONTAK FAMILY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "TAKACS",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "701-751-1281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP/FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "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 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.