NPIMap

Organization Active NPI

North Dakota Autism Center, Inc

  • Community/Behavioral Health Agency
  • West Fargo, ND
National Provider Identifier
1366032955
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORTH DAKOTA AUTISM CENTER, INC
Practice address
647 13TH Ave E Ste a
West Fargo, ND 58078-3328
Phone
(701) 277-8844
Fax
(701) 277-8847
NPI assigned
Jan 19, 2021
Organization subpart
Yes
Parent organization
NORTH DAKOTA AUTISM CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Authorized official

Name
Sandra Smith
Title
Executive Director
Phone
(701) 277-8844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

647 13TH Ave E Ste a
West Fargo, ND 58078-3328

Mailing address

647 13TH Ave E Ste a
West Fargo, ND 58078-3328
Phone (701) 367-9855

Other names 1

  • North Dakota Autism Center, Inc DD Division Other name

National Provider Directory

National Provider Directory
Tax ID family
North Dakota Autism Center Inc3 organizations share this tax ID, including this one
Part of
North Dakota Autism Center Inc

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1366032955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 13TH AVE E STE A",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783328",
            "telephone_number": "701-367-9855",
            "fax_number": "701-277-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 13TH AVE E STE A",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580783328",
            "telephone_number": "701-277-8844",
            "fax_number": "701-277-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH DAKOTA AUTISM CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH DAKOTA AUTISM CENTER, INC",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "701-277-8844"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Dakota Autism Center, Inc DD Division",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.