Taylor N Ensrude, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2436 Issued in ND

Practice address

1411 32ND St S Ste 1
Fargo, ND 58103-6304

Phone

(701) 235-8978

NPI assigned

Jun 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Concept Dentistry PC

  • Dental Clinic/Center
  • Fargo, ND
  • NPI 1801462395
  NPD

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1174192553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 38TH ST S STE 106",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047535",
            "telephone_number": "701-235-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 32ND ST S STE 1",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036304",
            "telephone_number": "701-235-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSRUDE",
        "first_name": "TAYLOR",
        "middle_name": "N",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ND",
            "license": "2436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Enlift Health Medical Clinic PLLC
• Paula Renee Ennis
• Michelle I Enockson, OT
• Roger Tambe Enow Tambe
• Angela Marie Ensrud, SOLE PROPRIETOR
• Entwine, LLC
• Erica Entzminger, M.S. CCC-SLP
• Brittany Enzminger
• Mary Katharine Epping, LAC, LCSW
• Elizabeth Erber

• All providers in Fargo, ND
• Dentist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.