NPIMap

Organization Active NPI

Concept Dentistry, PC

  • Dental Clinic/Center
  • Moorhead, MN
National Provider Identifier
1245069624
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CONCEPT DENTISTRY, PC
Practice address
1616 30TH Ave S
Moorhead, MN 56560-5152
Phone
(218) 233-4267
NPI assigned
Aug 1, 2024
Organization subpart
Yes
Parent organization
CONCEPT DENTISTRY, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Heidi Lund
Title
Operations Manager
Phone
(701) 866-1894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1616 30TH Ave S
Moorhead, MN 56560-5152

Mailing address

4201 38TH St S Ste 201
Fargo, ND 58104-7535

Other names 1

  • Horizon Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Concept Dentistry PC Valley City6 organizations share this tax ID, including this one
Part of
Concept Dentistry PC Valley City

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1616 30th Ave S
Moorhead, MN 56560
Phone (218) 223-4267

4201 38th St S
Ste 201
Fargo, ND 58104

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1245069624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 38TH ST S STE 201",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605152",
            "telephone_number": "218-233-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT DENTISTRY, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONCEPT DENTISTRY, PC",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "701-866-1894"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.