Organization Active NPI

Dakota Pediatric Dentistry Partnership

Doing business as Dakota Pediatric Dentistry

  • Pediatric Dentistry
  • Fargo, ND
National Provider Identifier
1346811965
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DAKOTA PEDIATRIC DENTISTRY PARTNERSHIP
Doing business as
Dakota Pediatric Dentistry
Practice address
4423 45TH St S
Fargo, ND 58104-4491
Phone
(701) 478-5439
Fax
(701) 364-5440
NPI assigned
Jul 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Dr. Chad James Hoge, DDSNPI 1992891428
Title
General Partner
Phone
(701) 478-5439

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

4423 45TH St S
Fargo, ND 58104-4491

Mailing address

4423 45TH St S
Fargo, ND 58104-4491
Phone (701) 478-5439

Other names 1

  • Dakota Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dakota Pediatric Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1346811965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 45TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044491",
            "telephone_number": "701-478-5439",
            "fax_number": "701-364-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 45TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044491",
            "telephone_number": "701-478-5439",
            "fax_number": "701-364-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA PEDIATRIC DENTISTRY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "HOGE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "701-478-5439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dakota Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dakota Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 28, 2021; 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.