Organization Active NPI

Minot Dentistry PC

Doing business as Dental Care Associates

  • General Practice Dentistry
  • Minot, ND
National Provider Identifier
1265684062
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2013 Issued in ND
Legal business name
MINOT DENTISTRY PC
Doing business as
Dental Care Associates
Practice address
600-22ND Ave NW
Minot, ND 58703
Phone
(701) 852-0632
Fax
(701) 852-0468
NPI assigned
Oct 13, 2008
Last updated
May 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Dr. Nathan M Deeter, DDS
Title
Owner/Pres
Phone
(701) 852-0632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2013 ND Primary

Addresses

Primary practice location

600-22ND Ave NW
Minot, ND 58703

Mailing address

600-22ND Ave NW
Minot, ND 58703
Phone (701) 852-0632

Other names 1

  • Dental Care Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1265684062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600-22ND AVE NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "58703",
            "telephone_number": "701-852-0632",
            "fax_number": "701-852-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600-22ND AVE NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "58703",
            "telephone_number": "701-852-0632",
            "fax_number": "701-852-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINOT DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "DEETER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRES",
        "authorized_official_telephone_number": "701-852-0632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "2013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.