Active NPI
Michael P Joyce, D.D.S.
- General Practice Dentistry
- Fargo, ND
National Provider Identifier
1306932876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1401
- Practice address
- 1383 21St Ave N
Suite B
Fargo, ND 58102-1841 - Phone
- (701) 237-3517
- Fax
- (701) 293-9718
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1401 | ND | Primary |
Addresses
Primary practice location
1383 21St Ave N
Suite B
Fargo, ND 58102-1841
Mailing address
1383 21St Ave N
Suite B
Fargo, ND 58102-1841
Phone (701) 237-3517
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1401 | Other | ND | DSC PROVIDER NUMBER |
| 040208 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1401 | ND | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1306932876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1383 21ST AVE N",
"address_2": "SUITE B",
"city": "FARGO",
"state": "ND",
"postal_code": "581021841",
"telephone_number": "701-237-3517",
"fax_number": "701-293-9718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1383 21ST AVE N",
"address_2": "SUITE B",
"city": "FARGO",
"state": "ND",
"postal_code": "581021841",
"telephone_number": "701-237-3517",
"fax_number": "701-293-9718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOYCE",
"first_name": "MICHAEL",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ND",
"license": "1401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSC PROVIDER NUMBER",
"identifier": "1401",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040208",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.