Doughboy Pediatric Dental Group

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DOUGHBOY PEDIATRIC DENTAL GROUP

Doing business as

Dakota Kids Dentistry

Practice address

2615 Elk Dr Ste 1
Minot, ND 58701-1200

Phone

(701) 839-4440

Fax

(701) 839-1911

NPI assigned

Jan 4, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Bridget Schaefer

Title

Office Manager

Phone

(701) 839-4440

Specialties & licenses 1

Addresses

Other names 1

• Dakota Kids Dentistry Doing business as

Locations

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1184197931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 ELK DR STE 1",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587011200",
            "telephone_number": "701-839-4440",
            "fax_number": "701-839-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 ELK DR STE 1",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587011200",
            "telephone_number": "701-839-4440",
            "fax_number": "701-839-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGHBOY PEDIATRIC DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "701-839-4440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dakota Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Malia Mei Dolan, SLP
• Nicole M Domres
• Christy J Donahue, NNP-BC
• Nieva Dorsey
• Anthony Dosch, LSW
• Mandy Rae Dovali
• Dr Alan Napoles DDS PLLC
• Dr. Jaime L Haaland, Optometrist, P.C.
• Dr. Jeremiah J. Glosenger, PC
• Dr. Pat'S Blood and Cancer Clinic

• Pediatric Dentistry in Minot, ND
• Providers in Minot, ND by specialty
• Pediatric Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.