NPIMap

Organization Active NPI

Dakota Smiles PLLC

Doing business as Three Rivers Dental

  • Dental Clinic/Center
  • Wahpeton, ND
National Provider Identifier
1194264937
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2038 Issued in ND
Legal business name
DAKOTA SMILES PLLC
Doing business as
Three Rivers Dental
Practice address
1999 4TH St N
Wahpeton, ND 58075-3436
Phone
(701) 642-2656
NPI assigned
Feb 13, 2017
Last updated
Feb 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Dr. Charles Christopher Duchsherer, DDSNPI 1861436974
Title
Owner
Phone
(701) 235-2860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2038 ND Primary

Addresses

Primary practice location

1999 4TH St N
Wahpeton, ND 58075-3436

Mailing address

1999 4TH St N
Wahpeton, ND 58075-3436
Phone (701) 642-2656

Other names 1

  • Three Rivers Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dakota Smiles PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1194264937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 4TH ST N",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580753436",
            "telephone_number": "701-642-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 4TH ST N",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580753436",
            "telephone_number": "701-642-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "DUCHSHERER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-235-2860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ND",
            "license": "2038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wahpeton, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.