Amundson Dental Associates

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1781 Issued in ND

Legal business name

AMUNDSON DENTAL ASSOCIATES

Practice address

2600 Demers Ave Ste 107
Grand Forks, ND 58201-4100

Phone

(701) 772-0171

Fax

(701) 772-3138

NPI assigned

Jun 1, 2017

Last updated

Jul 21, 2022By 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

Kimberly J Amundson

Title

Office Manager

Phone

(701) 772-0171

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Roger Martin Amundson, DDS, FAGD

  • General Practice Dentistry
  • Grand Forks, ND
  • NPI 1437228095
  NPD
• Scott M Amundson, DDS

  • General Practice Dentistry
  • Grand Forks, ND
  • NPI 1972039097
  NPD

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215465372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 DEMERS AVE STE 107",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014100",
            "telephone_number": "701-772-0171",
            "fax_number": "701-772-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 DEMERS AVE STE 107",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014100",
            "telephone_number": "701-772-0171",
            "fax_number": "701-772-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMUNDSON DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-07-21",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "AMUNDSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "701-772-0171"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ND",
            "license": "1781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Care Services ND LLC
• American Drug Stores Delaware LLC (CVS Pharmacy #08620)
• Leah Ames, COTA
• Jade Ammons, FNP-BC
• Lisa Amundgaard-Pagnac, PMHNP-BC
• Anna Amundson
• Janet Amundson, MA
• Matthew Duane Amundson, MD
• Roger Martin Amundson, DDS, FAGD
• Scott M Amundson, DDS

• Dental Clinic/Center in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Dental Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.