North Country Dental Service

Primary specialty

DentistTaxonomy code 122300000X

License

9539 Issued in MN

Legal business name

NORTH COUNTRY DENTAL SERVICE

Practice address

1311 Bemidji Ave N
Bemidji, MN 56601-3811

Phone

(218) 751-1111

Fax

(218) 444-6318

NPI assigned

May 5, 2008

Last updated

Aug 17, 2009By 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

Dr. John E. Lueth, D.D.S.NPI 1922086636

Title

Dentist

Phone

(218) 751-1111

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• John Eric Lueth, DDS

  • General Practice Dentistry
  • Bemidji, MN
  • NPI 1922086636
  NPD (past) Authorized official
• Terry David Schmitt, DDS

  • Dentist
  • Grand Rapids, MN
  • NPI 1841729472
  NPD (past)
• Robert D Mack, DDS

  • Dentist
  • Fargo, ND
  • NPI 1245465970
  NPD (past)

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1225204704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 BEMIDJI AVE N",
            "address_2": "P.O. BOX 1310",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013811",
            "telephone_number": "218-751-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 BEMIDJI AVE N",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013811",
            "telephone_number": "218-751-1111",
            "fax_number": "218-444-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY DENTAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "LUETH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "218-751-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "9539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "843220100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Daniel Nistler, BS
• No 1 Ladies Advocacy Agency (Advocates of the Bemidji Area)
• Susan Carol Nokleby, RN, MS, LSN
• Marty L. Nolte, R.D.
• Margaret Nordquist, CHW CERTIFICATE
• North Country Health Services (North Country Regional Hospital)
• North Country Health Services (North Country Regional Hospital)
• North Country Medical Clinic (Northern Medical Clinic)
• Northern Lakes Clinic, Inc. (Northern Lakes Clinic)
• Northern Lakes Clinic, Inc. (Northern Lakes Clinic)

• Dentist in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.