NPIMap

Organization Active NPI

Medcenter One

  • Athletic Trainer
  • Bismarck, ND
National Provider Identifier
1295061752
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
366-09 Issued in ND
Legal business name
MEDCENTER ONE
Practice address
1833 E Bismarck Expy
Bismarck, ND 58504-6708
Phone
(701) 323-5222
NPI assigned
Oct 19, 2009
Organization subpart
Yes
Parent organization
MEDCENTER ONEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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

Authorized official

Name
Tammy Leingang
Title
Office Coordinator
Phone
(701) 323-5222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193400000X SINGLE SPECIALTY GROUP 2255A2300X 366-09 ND Primary

Addresses

Primary practice location

1833 E Bismarck Expy
Bismarck, ND 58504-6708

Mailing address

1833 E Bismarck Expy
Bismarck, ND 58504-6708
Phone (701) 323-5222

Other names 1

  • MEDCENTER ONE OCCUPATIONAL HEALTH CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clark O Taylor DDS31 organizations share this tax ID, including this one
Part of
Clark O Taylor DDS

Other organizations with this tax ID 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1295061752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 E BISMARCK EXPY",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046708",
            "telephone_number": "701-323-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 E BISMARCK EXPY",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046708",
            "telephone_number": "701-323-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCENTER ONE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDCENTER ONE",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "LEINGANG",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "701-323-5222"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ND",
            "license": "366-09",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDCENTER ONE OCCUPATIONAL HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.