NPIMap

Organization Active NPI

Pride Inc.

  • Developmentally Disabled Services Day Training Agency
  • Bismarck, ND
National Provider Identifier
1356453484
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
PRIDE INC.
Practice address
1200 Missouri Ave
Bismarck, ND 58504-5264
Phone
(701) 258-7838
Fax
(701) 258-3735
NPI assigned
Aug 31, 2006
Last updated
Jul 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Authorized official

Name
Darla Roggenbuck
Title
Financial Coordinator
Phone
(701) 258-7838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1200 Missouri Ave
Bismarck, ND 58504-5264

Mailing address

1200 Missouri Ave
Bismarck, ND 58504-5264
Phone (701) 258-7838

Other identifiers 1

IdentifierTypeStateIssuer
35002MedicaidND

National Provider Directory

National Provider Directory
Tax ID family
Pride Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

Subparts reporting this organization as parent 7

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1356453484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MISSOURI AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045264",
            "telephone_number": "701-258-7838",
            "fax_number": "701-258-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MISSOURI AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045264",
            "telephone_number": "701-258-7838",
            "fax_number": "701-258-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "ROGGENBUCK",
        "authorized_official_first_name": "DARLA",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "701-258-7838"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35002",
            "state": "ND"
        }
    ],
    "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 Jul 1, 2014; 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.