Organization Active NPI

Friendly Smiles Family Dentisrty, PC

  • General Practice Dentistry
  • Fargo, ND
National Provider Identifier
1346541760
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1943 Issued in ND
Legal business name
FRIENDLY SMILES FAMILY DENTISRTY, PC
Practice address
2701 9TH Ave S
Fargo, ND 58103-8712
Phone
(701) 364-9990
Fax
(701) 364-9992
NPI assigned
Nov 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Dr. Brenda M Barfield, DDSNPI 1811917149
Title
President
Phone
(701) 364-9990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 1943 ND Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2024 ND
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2039 ND

Addresses

Primary practice location

2701 9TH Ave S
Fargo, ND 58103-8712

Mailing address

2701 9TH Ave S
Fargo, ND 58103-8712
Phone (701) 364-9990

Other identifiers 4

IdentifierTypeStateIssuer
41347MedicaidND
41320MedicaidND
41457MedicaidND
41459MedicaidND

National Provider Directory

National Provider Directory

Locations

2701 9th Ave SW
Fargo, ND 58103
Phone (701) 234-9234

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": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1346541760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 9TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038712",
            "telephone_number": "701-364-9990",
            "fax_number": "701-364-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 9TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038712",
            "telephone_number": "701-364-9990",
            "fax_number": "701-364-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY SMILES FAMILY DENTISRTY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "BARFIELD",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-364-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1943",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "2024",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "2039",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41347",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41320",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41457",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41459",
            "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 Nov 17, 2010; 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.