Active NPI
Joel H Springan, OD
- Optometrist
- Bismarck, ND
National Provider Identifier
1194767129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 435
- Practice address
- 3119 N 14TH St
Bismarck, ND 58503-0664 - Phone
- (701) 222-3937
- Fax
- (701) 255-3493
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 435 | ND | Primary |
Addresses
Primary practice location
3119 N 14TH St
Bismarck, ND 58503-0664
Mailing address
1137 Columbia Dr
Bismarck, ND 58504-6515
Phone (701) 355-4446
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22-03333 | Other | MEDICA - NORTH CLINIC | |
| 482596 | Medicaid | MT | |
| 24734 | Other | ND | BCBS - NORTH CLINIC |
| 870435 | Other | NDVSI - MAIN CLINIC | |
| 22-03334 | Other | MEDICA - MAIN CLINIC | |
| 22986 | Other | SIOUX VALLEY HEALTH PLAN | |
| 488241044248 | Other | PREFERRED ONE | |
| 60321 | Medicaid | ND | |
| 892876 | Other | NDVSI - NORTH CLINIC | |
| 9203090 | Medicaid | SD | |
| ND0435 | Other | EYEMED | |
| 410038213 | Other | RAILROAD MEDICARE ID | |
| 17383 | Other | ND | BCBS - MAIN CLINIC |
| 61503 | Other | COAST TO COAST | |
| ND200 | Other | VISION BENEFIT OF AMERICA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 435 | ND | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1194767129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1137 COLUMBIA DR",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585046515",
"telephone_number": "701-355-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3119 N 14TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030664",
"telephone_number": "701-222-3937",
"fax_number": "701-255-3493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRINGAN",
"first_name": "JOEL",
"middle_name": "H",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ND",
"license": "435",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA - NORTH CLINIC",
"identifier": "22-03333",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "482596",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - NORTH CLINIC",
"identifier": "24734",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NDVSI - MAIN CLINIC",
"identifier": "870435",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA - MAIN CLINIC",
"identifier": "22-03334",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIOUX VALLEY HEALTH PLAN",
"identifier": "22986",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "488241044248",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60321",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NDVSI - NORTH CLINIC",
"identifier": "892876",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9203090",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "ND0435",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID",
"identifier": "410038213",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - MAIN CLINIC",
"identifier": "17383",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COAST TO COAST",
"identifier": "61503",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION BENEFIT OF AMERICA",
"identifier": "ND200",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.