Organization Active NPI

Designer Smiles PLLC

  • Durable Medical Equipment & Medical Supplies
  • Fargo, ND
National Provider Identifier
1215432950
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1783 Issued in ND
Legal business name
DESIGNER SMILES PLLC
Doing business as
Remedies 4 Sleep
Practice address
3525 25TH St S
Fargo, ND 58104-5900
Phone
(701) 298-9400
NPI assigned
Mar 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Authorized official

Name
Dr. Dennis Lynn Hetland, DDS
Title
Owner
Phone
(701) 298-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1783 ND Primary

Addresses

Primary practice location

3525 25TH St S
Fargo, ND 58104-5900

Mailing address

3525 25TH St S
Fargo, ND 58104-5900
Phone (701) 298-9400

Other names 1

  • Remedies 4 Sleep Doing business as

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1215432950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045900",
            "telephone_number": "701-298-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 25TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045900",
            "telephone_number": "701-298-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIGNER SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "HETLAND",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-298-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ND",
            "license": "1783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Remedies 4 Sleep",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.