Agassiz Dental Associates, PC

Primary specialty

DentistTaxonomy code 122300000X

License

1415 Issued in ND

Legal business name

AGASSIZ DENTAL ASSOCIATES, PC

Practice address

1200 Roberts Ave NE
Cooperstown, ND 58425

Phone

(701) 797-2641

NPI assigned

Sep 29, 2006

Last updated

Apr 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Melanie J. Hoyt

Title

Receptionist/Office Manager

Phone

(701) 797-2641

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1184716045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 569",
            "city": "COOPERSTOWN",
            "state": "ND",
            "postal_code": "58425",
            "telephone_number": "701-797-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROBERTS AVE NE",
            "city": "COOPERSTOWN",
            "state": "ND",
            "postal_code": "58425",
            "telephone_number": "701-797-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGASSIZ DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "HOYT",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "RECEPTIONIST/OFFICE MANAGER",
        "authorized_official_telephone_number": "701-797-2641",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ND",
            "license": "1415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40303",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Joy Andel
• Cortney Beattie, PT, DPT
• Norman Leo Berthiaume, FNP-C
• City of Cooperstown
• Cooperstown Medical Center (Cooperstown Medical Center DME)

• Dentist in Cooperstown, ND
• Providers in Cooperstown, ND by specialty
• Dentist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.