Organization Active NPI

Dakota Family Dental

  • General Practice Dentistry
  • Bismarck, ND
National Provider Identifier
1316044761
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAKOTA FAMILY DENTAL
Practice address
1929 N. Washington St.
Bismarck, ND 58507-7039
Phone
(701) 258-7900
Fax
(701) 250-0557
NPI assigned
Sep 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Doug Miller
Title
Office Manager
Phone
(701) 258-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1929 N. Washington St.
Bismarck, ND 58507-7039

Mailing address

1929 N. Washington St.
PO Box 7039
Bismarck, ND 58507-7039
Phone (701) 258-7900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316044761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 N. WASHINGTON ST.",
            "address_2": "PO BOX 7039",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585077039",
            "telephone_number": "701-258-7900",
            "fax_number": "701-250-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 N. WASHINGTON ST.",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585077039",
            "telephone_number": "701-258-7900",
            "fax_number": "701-250-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "701-258-7900"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.