Organization Active NPI

Cotter Dental PC

  • Dental Clinic/Center
  • Ellendale, ND
National Provider Identifier
1346741964
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
COTTER DENTAL PC
Practice address
210 Main St
Ellendale, ND 58436
Phone
(701) 349-3636
Fax
(701) 349-2137
NPI assigned
Feb 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Authorized official

Name
Brandon Cotter, DDSNPI 1215481577
Title
Owner
Phone
(701) 349-3636

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X ND Primary

Addresses

Primary practice location

210 Main St
Ellendale, ND 58436

Mailing address

PO Box 460
Ellendale, ND 58436-0460
Phone (701) 349-3636

Other names 1

  • Dakota Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1346741964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "ELLENDALE",
            "state": "ND",
            "postal_code": "584360460",
            "telephone_number": "701-349-3636",
            "fax_number": "701-349-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MAIN ST",
            "city": "ELLENDALE",
            "state": "ND",
            "postal_code": "58436",
            "telephone_number": "701-349-3636",
            "fax_number": "701-349-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTER DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "COTTER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-349-3636",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dakota Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellendale, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.