NPIMap

Organization Active NPI

Concept Dentistry, PC Valley City

  • Dental Clinic/Center
  • Valley City, ND
National Provider Identifier
1184061012
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2079 Issued in ND
Legal business name
CONCEPT DENTISTRY, PC VALLEY CITY
Practice address
1150 West Main St
Valley City, ND 58072
Phone
(701) 845-2180
NPI assigned
Jun 1, 2013
Last updated
Aug 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Brian Edwin Bulik, DDSNPI 1588984033
Title
Ceo
Phone
(701) 845-2180

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
Dental Clinic/Center 261QD0000X 2079 ND Primary

Addresses

Primary practice location

1150 West Main St
Valley City, ND 58072

Mailing address

1150 West Main St
Valley City, ND 58072
Phone (701) 845-2180

National Provider Directory

National Provider Directory
Tax ID family
Concept Dentistry PC Valley City6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1150 W Main St
Valley City, ND 58072
Phone (701) 845-2180

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1370044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1184061012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 WEST MAIN ST",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "58072",
            "telephone_number": "701-845-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 WEST MAIN ST",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "58072",
            "telephone_number": "701-845-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT DENTISTRY, PC VALLEY CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-01",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "BULIK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-845-2180",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ND",
            "license": "2079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley City, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.