Organization Active NPI

Denise Forte-Pathroff M.D., P.C.

  • Specialist
  • Bismarck, ND
National Provider Identifier
1306046545
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5358 Issued in ND
Legal business name
DENISE FORTE-PATHROFF M.D., P.C.
Practice address
225 N 7TH St
Ste B
Bismarck, ND 58501-4417
Phone
(701) 224-9643
Fax
(701) 323-2929
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Dr. Denise Forte-Pathroff, M.D.
Title
Doctor
Phone
(701) 224-9643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 5358 ND Primary

Addresses

Primary practice location

225 N 7TH St
Ste B
Bismarck, ND 58501-4417

Mailing address

225 N 7TH St
Ste B
Bismarck, ND 58501-4417
Phone (701) 224-9643

Other identifiers 1

IdentifierTypeStateIssuer
016453MedicaidND

National Provider Directory

National Provider Directory

Locations

225 N 7th St
Ste B
Bismarck, ND 58501
Phone (701) 224-1273

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1306046545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N 7TH ST",
            "address_2": "STE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014417",
            "telephone_number": "701-224-9643",
            "fax_number": "701-323-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N 7TH ST",
            "address_2": "STE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014417",
            "telephone_number": "701-224-9643",
            "fax_number": "701-323-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE FORTE-PATHROFF M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "FORTE-PATHROFF",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "701-224-9643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "ND",
            "license": "5358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016453",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 24, 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.