Individual provider Active NPI

John Oscar Nord, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Grand Forks, ND
National Provider Identifier
1215950795
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1491 Issued in ND
Practice address
2650 32ND Ave S Ste G
Grand Forks, ND 58201-6541
Phone
(701) 775-0684
Fax
(701) 775-3282
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 1491 ND Primary

Addresses

Primary practice location

2650 32ND Ave S Ste G
Grand Forks, ND 58201-6541

Mailing address

2650 32ND Ave S Ste G
Grand Forks, ND 58201-6541
Phone (701) 775-0684

Other identifiers 2

IdentifierTypeStateIssuer
40504MedicaidND
1491OtherNDBCBS ND PROVIDER #

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215950795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 32ND AVE S STE G",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016541",
            "telephone_number": "701-775-0684",
            "fax_number": "701-775-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 32ND AVE S STE G",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016541",
            "telephone_number": "701-775-0684",
            "fax_number": "701-775-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORD",
        "first_name": "JOHN",
        "middle_name": "OSCAR",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ND",
            "license": "1491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40504",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ND PROVIDER #",
            "identifier": "1491",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.